NPI 1932339942

Big Lake Mental Health Services

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Houston, AK

Practice location

Address: 12528 Hawk Lane, Houston, AK 99694-2528
Phone: (907) 892-6946
Fax: (907) 892-6945
Mailing address: PO Box 299136, Wasilla, AK 99629-9136

Authorised official

Name: Jess G Adams
Title: Bookkeeper
Phone: (907) 892-6946

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence HC78981 (AK)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Alaska →

Registry record

NPI: 1932339942
Entity type: Organization
NPI issued: 24 Jul 2009
Record last updated: 24 Jul 2009

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.