NPI 1073766317
Kic/Thc Behavioral Health Department
Practice location
- Address
- 2960 Tongass Ave Fl 1, Ketchikan, AK 99901-5742
- Phone
- (907) 228-4917
- Fax
- (907) 228-4920
Authorised official
- Name
- Debbie Patton
- Title
- General Manager
- Phone
- (907) 228-4926
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1073766317
- Entity type
- Organization
- NPI issued
- 30 Oct 2008
- Record last updated
- 30 Oct 2008
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.