NPI 1730582446

Starting Point

Organisation Substance Abuse Rehabilitation Facility Wasilla, AK

Practice location

Address: 230 E Paulson Ave 76, Wasilla, AK 99654-7001
Phone: (907) 376-6116

Authorised official

Name: Andy Brennan
Title: Administrator/Counselor Supervisor
Phone: (907) 376-6116

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 1400000818 (AK)

Other Substance Abuse Rehabilitation Facility providers in Alaska →

Registry record

NPI: 1730582446
Entity type: Organization
NPI issued: 8 Oct 2014
Record last updated: 8 Oct 2014

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.