Southcentral Foundation

NPI #1124064894 in Anchorage, Alaska

Provider Information

NPI Number: 1124064894
Entity Type: Organization
Organization Name: Southcentral Foundation
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHCENTRAL FOUNDATION
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 21, 2006
Last Updated: Aug 31, 2023

Practice Location

Address: 4320 DIPLOMACY DR STE 1500
City: Anchorage
State: Alaska
ZIP Code: 99508-5925
Phone: (907) 729-2500

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X

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