Organization · NPI-2

Tincher Therapy Services

Clinic/Center, Adult Mental Health · Eagle River, AK

NPI number1922436328
StatusActive
Last updated in NPPESOct 22, 2013

Details

NPI
1922436328
Entity type
Organization (NPI-2)
Legal business name
Tincher Therapy Services
Organization subpart
No
Enumeration date
Oct 22, 2013
Last updated
Oct 22, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health117AKYes

Practice location

10928 Eagle River Rd
#140
Eagle River, AK 99577-8038

Phone 907-696-8462 · Fax 907-696-8492

Mailing address

10928 Eagle River Rd
#140
Eagle River, AK 99577-8038

Phone 907-696-8462 · Fax 907-696-8492

Authorized official

Vivien Watts Tincher
Owner
9076968462

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