NPI 1114050911

Bristol Bay Area Health Corporation

Organisation Substance Abuse Rehabilitation Facility Dillingham, AK

Practice location

Address: 6000 Kanakanak Road, Dillingham, AK 99576-0130
Phone: (907) 842-5201
Fax: (907) 842-9250
Mailing address: PO Box 130, Dillingham, AK 99576-0130

Authorised official

Name: Robert J Clark
Title: Chief Executive Officer
Phone: (907) 842-5201

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Alaska →

Registry record

NPI: 1114050911
Entity type: Organization
NPI issued: 13 Mar 2007
Record last updated: 4 Apr 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.