Alaska Addiction Rehabilitation Services Inc. DBA Nugen's Ranch

NPI #1417503764 in Wasilla, Alaska

Provider Information

NPI Number: 1417503764
Entity Type: Organization
Organization Name: Alaska Addiction Rehabilitation Services Inc. DBA Nugen's Ranch
Primary Specialty: Substance Abuse Rehabilitation Facility
Enumeration Date: Aug 13, 2019
Last Updated: Aug 13, 2019

Practice Location

Address: 26731 W POINT MACKENZIE RD
City: Wasilla
State: Alaska
ZIP Code: 99623-8709
Phone: (907) 376-4534

Authorized Official

Name: MR. ROBERT BODNAR, MS
Title: EXECUTIVE DIRECTOR
Phone: (907) 376-4534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X	Primary

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