NPI 1417184961

Isaiah Jordan Clark

Practitioner Substance Abuse Rehabilitation Facility Sitka, AK

Practice location

Address: 701 Indian River Rd, Sitka, AK 99835-7480
Phone: (907) 747-3636

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Alaska →

Registry record

NPI: 1417184961
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2009
Record last updated: 11 Jun 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.