Ketchikan Indian Corporation

NPI #1205159571 in Ketchikan, Alaska

Provider Information

NPI Number: 1205159571
Entity Type: Organization
Organization Name: Ketchikan Indian Corporation
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 1, 2010
Last Updated: Nov 24, 2010

Practice Location

Address: 2960 TONGASS AVE
City: Ketchikan
State: Alaska
ZIP Code: 99901-5742
Phone: (907) 228-4941

Authorized Official

Name: DEBBIE PATTON, MBA
Title: GENERAL MANAGER
Phone: (907) 228-4926

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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