NPI 1013629211
Volunteers of America Alaska, Russian Jack
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
Mental Health Clinic/Center (Including Community Mental Health Center)
Adolescent and Children Mental Health Clinic/Center
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.