Alaska Advanced Behavioral Health

NPI #1043993801 in Nome, Alaska

Provider Information

NPI Number: 1043993801
Entity Type: Organization
Organization Name: Alaska Advanced Behavioral Health
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 9, 2023
Last Updated: Aug 9, 2023

Practice Location

Address: 203 WEST E ST
City: Nome
State: Alaska
ZIP Code: 99762
Phone: (231) 388-5344

Authorized Official

Name: GARRICK FULLER, LCSW
Title: OWNER
Phone: (231) 388-5344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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