NPI 1467669150

State of Alaska Department of Administration

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Juneau, AK

Practice location

Address: 130 Seward St Suite 308, Juneau, AK 99801-2102
Phone: (907) 465-5280
Fax: (907) 465-3190
Mailing address: PO Box 110630, Juneau, AK 99811-0630

Authorised official

Name: Dave R Nugent
Title: Accounting Technician II
Phone: (907) 465-5280

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: 1467669150
Entity type: Organization
NPI issued: 16 May 2007
Record last updated: 26 Jun 2008

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.