NPI 1790350049

Maniilaq Association

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Kotzebue, AK

Practice location

Address: 572 Friends Way, Kotzebue, AK 99752
Phone: (907) 442-7581
Mailing address: PO Box 256, Kotzebue, AK 99752-0256

Authorised official

Name: Yangsun Han-Im
Title: Other
Phone: (907) 442-7612

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1790350049
Entity type: Organization
NPI issued: 20 May 2021
Record last updated: 20 May 2021

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.