Organization · NPI-2

The Salvation Army Clitheroe Center - Dual Diagnosis

Substance Abuse Rehabilitation Facility · Anchorage, AK

NPI number1124147905
StatusActive
Last updated in NPPESAug 28, 2007

Details

NPI
1124147905
Entity type
Organization (NPI-2)
Legal business name
The Salvation Army Clitheroe Center - Dual Diagnosis
Organization subpart
No
Enumeration date
Mar 29, 2007
Last updated
Aug 28, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility11806AKYes

Practice location

8000 W End Rd
Anchorage, AK 99519

Phone 907-243-1181

Mailing address

143 E 9th Ave
Anchorage, AK 99501-3618

Phone 907-339-3406 · Fax 907-276-2611

Authorized official

Adelane M Kelly
Divisional Finance Director
9073393406

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