NPI 1316159684

Yukon Kuskokwim Health Corporation

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Bethel, AK

Practice location

Address: 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559
Phone: (907) 543-6100
Mailing address: PO Box 528, Bethel, AK 99559-0528

Authorised official

Name: Gene Peltola
Title: Chief Executive Officer
Phone: (907) 543-6020

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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

Registry record

NPI: 1316159684
Entity type: Organization
NPI issued: 7 May 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.