Mac Mataafa

NPI #1467179903 in Anchorage, Alaska

Provider Information

NPI Number: 1467179903
Entity Type: Individual
Name: Mac Mataafa
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Oct 25, 2022
Last Updated: Oct 25, 2022

Practice Location

Address: 3722 PARSONS AVE
City: Anchorage
State: Alaska
ZIP Code: 99508-1216
Phone: (907) 258-1141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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