NPI 1003005828
Maniilaq Association
Practice location
- Address
- 722 Second Ave, Kotzebue, AK 99752-0256
- Phone
- (907) 442-7640
- Fax
- (907) 442-7822
Authorised official
- Name
- Rocio Baquerizo
- Title
- Deputy Director
- Phone
- (907) 442-7640
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1003005828
- Entity type
- Organization
- NPI issued
- 17 Oct 2007
- Record last updated
- 17 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.