Whalio Doctors

NPI 1295753895

Genesis Recovery Services, INC.

Organisation Substance Abuse Rehabilitation Facility Anchorage, AK

Practice location

Address
2825 W 42nd Ave, Anchorage, AK 99517-2830
Phone
(907) 243-5130
Fax
(907) 248-8350

Authorised official

Name
Anthony Longval
Title
Executive Director
Phone
(907) 243-5130

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 297960 (AK)

Registry record

NPI
1295753895
Entity type
Organization
NPI issued
18 Jul 2006
Record last updated
9 Jan 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.