NPI 1750154779

Magnolia Moananu

Practitioner Mental Illness Community Based Residential Treatment Facility Anchorage, AK

Practice location

Address: 3722 Parsons Ave, Anchorage, AK 99508-1216
Phone: (907) 201-9857

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Alaska →

Registry record

NPI: 1750154779
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2023
Record last updated: 1 Nov 2023

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.