NPI 1972945889

Kenai Peninsula Community Care So

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Kenai, AK

Practice location

Address: 320 S Spruce St, Kenai, AK 99611-7939
Phone: (907) 283-7635
Fax: (907) 283-9575

Authorised official

Name: Tamara Bidwell
Title: Executive Director
Phone: (907) 283-7635

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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

Registry record

NPI: 1972945889
Entity type: Organization
NPI issued: 19 Jul 2013
Record last updated: 19 Jul 2013

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.