Southcentral Foundation

NPI #1043886369 in Wasilla, Alaska

Provider Information

NPI Number
1043886369
Entity Type
Organization
Organization Name
Southcentral Foundation
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHCENTRAL FOUNDATION
Primary Specialty
Community/Behavioral Health
Enumeration Date
May 27, 2021
Last Updated
Aug 30, 2023

Practice Location

Address
3223 E PALMER WASILLA HWY
State
Alaska
ZIP Code
99654-7277
Phone
(907) 729-6300

Authorized Official

Name
RONALD LEE OLSON
Title
EXECUTIVE VICE PRESIDENT FINANCE
Phone
(907) 729-4939

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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