NPI 1093147589

Providence Kodiak Island Counseling Center

Organisation Case Management Agency Kodiak, AK

Practice location

Address: 717 E Rezanof Dr, Kodiak, AK 99615-6416
Phone: (907) 481-2400
Fax: (907) 481-2419

Authorised official

Name: Veronica Samaniego
Title: Case Mnanager
Phone: (907) 481-2400

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 920162237 (AK)

Other Case Management providers in Alaska →

Registry record

NPI: 1093147589
Entity type: Organization
NPI issued: 6 Aug 2013
Record last updated: 6 Aug 2013

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.