Organization · Type 2 NPI

Kenai Peninsula Community Care So

Emotionally Disturbed Childrens' Residential Treatment Facility · Kenai, AK

NPI number 1972945889 Active

Practice location

320 S Spruce St
Kenai, AK 99611-7939

Fax (907) 283-9575

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1972945889

Kenai Peninsula Community Care So's National Provider Identifier is 1972945889, issued on Jul 19, 2013. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Kenai, AK. The record was last updated on Jul 19, 2013.