NPI 1265656730

The Salvation Army Booth Memorial Residential Childcare

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Anchorage, AK

Practice location

Address: 3600 E 20th Ave, Anchorage, AK 99508-3416
Phone: (907) 279-0522
Mailing address: 143 E 9th Ave, Anchorage, AK 99501-3618

Authorised official

Name: Adelane M Kelly
Title: Divisional Finance Director
Phone: (907) 339-3406

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 11806 (AK)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Alaska →

Registry record

NPI: 1265656730
Entity type: Organization
NPI issued: 13 Apr 2007
Record last updated: 22 Aug 2020

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.