NPI 1639102882

Southcentral Foundation

Organisation Mental Illness Community Based Residential Treatment Facility Anchorage, AK

Practice location

Address: 4000 San Ernesto Ave, Anchorage, AK 99508-2874
Phone: (907) 729-5020
Mailing address: PO Box 35198, Seattle, WA 98124-5198

Authorised official

Name: Ronald Lee Olson
Title: Executive Vice President Finance
Phone: (907) 729-4939

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 20467 (AK)

Other Community Based Residential Treatment Facility, Mental Illness providers in Alaska →

Registry record

NPI: 1639102882
Entity type: Organization
NPI issued: 9 Jul 2006
Record last updated: 14 Sep 2023

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.