Whalio Doctors

NPI 1104537877

Community Medical Services Montana-Private, LLC

Organisation Methadone Clinic Wasilla, AK

Practice location

Address
2521 E Mountain Village Dr STE F, Wasilla, AK 99654-7373
Phone
(907) 782-4750
Fax
(907) 743-3072
Mailing address
8444 N 90th St STE 100, Scottsdale, AZ 85258-4437

Authorised official

Name
Cindy Gaither
Title
Vp of Rcm
Phone
(602) 248-8886

Registered specialties (5)

Methadone Clinic Primary
Ambulatory Health Care Facilities Taxonomy 261QM2800X
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X

Registry record

NPI
1104537877
Entity type
Organization
NPI issued
13 Dec 2022
Record last updated
10 Feb 2024

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.