Southcentral Foundation

NPI #1063871192 in Anchorage, Alaska

Provider Information

NPI Number: 1063871192
Entity Type: Organization
Organization Name: Southcentral Foundation
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 17, 2016
Last Updated: Feb 17, 2016

Practice Location

Address: 4501 DIPLOMACY DR
City: Anchorage
State: Alaska
ZIP Code: 99508-5919
Phone: (907) 729-3300

Authorized Official

Name: RONALD LEE OLSON
Title: VP FINANCE
Phone: (907) 729-4939

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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