Queen Anne Avenue LLC
NPI #1477403509 in Wasilla, Alaska
Provider Information
- NPI Number
- 1477403509
- Entity Type
- Organization
- Organization Name
- Queen Anne Avenue LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jan 29, 2026
- Last Updated
- Jan 29, 2026
Practice Location
Authorized Official
- Name
- MR. ROSS MORTON, JD
- Title
- CEO
- Phone
- (916) 847-4006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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