NPI 1205164332
Maniilaq Association
Practice location
- Address
- 435 Second Street Ted Stevens Way, Kotzebue, AK 99752-0256
- Phone
- (907) 442-7640
- Mailing address
- P.O. Box 256 435 Second Street Ted Stevens Way, Kotzebue, AK 99752-0256
Authorised official
- Name
- Lori Atoruk
- Title
- Counselor Trainee
- Phone
- (907) 475-2291
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1205164332
- Entity type
- Organization
- NPI issued
- 1 Dec 2009
- Record last updated
- 1 Dec 2009
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.