Organization · NPI-2
Volunteers Of America Alaska
Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children · Eagle River, AK
NPI number1215074018
StatusActive
Last updated in NPPESAug 8, 2019
Details
- NPI
- 1215074018
- Entity type
- Organization (NPI-2)
- Legal business name
- Volunteers Of America Alaska
- Organization subpart
- No
- Enumeration date
- Jan 31, 2007
- Last updated
- Aug 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | 67187 | AK |
Practice location
8012 Stewart Mountain DrEagle River, AK 99577-9013
Phone 907-694-3336
Mailing address
2600 Cordova St Ste 101Anchorage, AK 99503-2745
Phone 907-279-9634
Authorized official
Jennifer Watkins
Billing Manager
9072799627
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