NPI 1811199169

Maniilaq Association

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Kotzebue, AK

Practice location

Address: 572 Friends Way, Kotzebue, AK 99752
Phone: (907) 442-7582
Mailing address: PO Box 256, Kotzebue, AK 99752-0256

Authorised official

Name: Karen Denise Sours
Title: Program Coordinator
Phone: (907) 442-7582

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 400278 (AK)

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

Registry record

NPI: 1811199169
Entity type: Organization
NPI issued: 31 May 2007
Record last updated: 22 Aug 2020

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.