Presbyterian Hospitality House

NPI #1326396821 in Wasilla, Alaska

Provider Information

NPI Number: 1326396821
Entity Type: Organization
Organization Name: Presbyterian Hospitality House
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Aug 15, 2012
Last Updated: Aug 15, 2012

Practice Location

Address: 2771 E HIAWATHA DR
City: Wasilla
State: Alaska
ZIP Code: 99654-2853
Phone: (907) 456-6445

Authorized Official

Name: DRENDA M TIGNER, B.A., M.A.
Title: CEO
Phone: (907) 456-6445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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