Whalio Doctors

NPI 1609353614

Brendan McCann

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Wasilla, AK

Practice location

Address
1460 E Mulchatna Dr, Wasilla, AK 99654-3540
Phone
(907) 841-2448

Authorised official

Name
Brendan McCann
Title
Owner / Operator
Phone
(907) 841-2448

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 100393 (AK)

Registry record

NPI
1609353614
Entity type
Organization
NPI issued
23 Jul 2018
Record last updated
23 Jul 2018

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.