PROVIDENCE HEALTH & SERVICES - WASHINGTON
Organization (NPI-2)
Active
Community Based Residential Treatment Facility, Mental Illness
Provider Information
- NPI Number
1407945389- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3760 PIPER ST SUITE LL 139, ANCHORAGE, AK, 995084665
- Phone
- (907) 563-5006
- Fax
- (907) 563-3217
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Psychiatry & Neurology, Addiction Psychiatry
Community/Behavioral Health
Residential Treatment Facility, Emotionally Disturbed Children
License: AK #512146
Nurse Practitioner, Psych/Mental Health
Community Based Residential Treatment Facility, Mental Illness
Primary License: AK #NOT NUMBERED