Mat-Su Activity and Respite Center

NPI #1124158019 in Wasilla, Alaska

Provider Information

NPI Number: 1124158019
Entity Type: Organization
Organization Name: Mat-Su Activity and Respite Center
Primary Specialty: Case Management
Enumeration Date: Mar 7, 2007
Last Updated: Feb 18, 2008

Practice Location

Address: 951 E BOGARD RD
Address 2: SUITE 101
City: Wasilla
State: Alaska
ZIP Code: 99654-7113
Phone: (907) 357-8622

Authorized Official

Name: LAURA SASSEEN
Title: EXECUTIVE DIRECTOR
Phone: (907) 357-8622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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