Southcentral Foundation

NPI #1144830837 in Chugiak, Alaska

Provider Information

NPI Number
1144830837
Entity Type
Organization
Organization Name
Southcentral Foundation
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 6, 2020
Last Updated
Aug 17, 2020

Practice Location

Address
26341 EKLUTNA VILLAGE RD
State
Alaska
ZIP Code
99567-5148
Phone
(907) 688-6031

Authorized Official

Name
RONALD LEE OLSON
Title
VP OF REVENUE
Phone
(701) 729-4939

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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