NPI 1629298120

Kawerak INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Nome, AK

Practice location

Address: 407 K Street, Nome, AK 99762
Phone: (907) 443-8096
Fax: (907) 443-2708
Mailing address: PO Box 948 P.O. Box 948, Nome, AK 99762-0948

Authorised official

Name: Loretta Bullard
Title: President
Phone: (907) 443-5231

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 400297 (AK)

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

Registry record

NPI: 1629298120
Entity type: Organization
NPI issued: 26 Apr 2007
Record last updated: 8 Jul 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.