Whalio Doctors

NPI 1013629211

Volunteers of America Alaska, Russian Jack

Organisation Community/Behavioral Health Agency Anchorage, AK

Practice location

Address
4300 E 20th Ave, Anchorage, AK 99508-3501
Phone
(907) 279-9640
Mailing address
2600 Cordova St STE 101, Anchorage, AK 99503-2745

Authorised official

Name
Jennifer Mora
Title
Rcm Director
Phone
(219) 850-4084

Registered specialties (3)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI
1013629211
Entity type
Organization
NPI issued
19 Dec 2022
Record last updated
19 Dec 2022

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.