NPI 1710149661

Southcentral Foundation

Organisation Mental Illness Community Based Residential Treatment Facility Anchorage, AK

Practice location

Address: 3550 Cottonwood St, Anchorage, AK 99508-4352
Phone: (907) 729-2500
Mailing address: 4501 Diplomacy Dr Attn: Provider Enrollment, Anchorage, AK 99508-5919

Authorised official

Name: Ronald Lee Olson
Title: Vp Finance
Phone: (907) 729-4939

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

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

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Alaska →

Registry record

NPI: 1710149661
Entity type: Organization
NPI issued: 1 Jul 2008
Record last updated: 15 Oct 2024

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.