Southcentral Foundation

NPI #1588255970 in Sutton, Alaska

Provider Information

NPI Number
1588255970
Entity Type
Organization
Organization Name
Southcentral Foundation
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHCENTRAL FOUNDATION
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jan 29, 2021
Last Updated
Sep 14, 2023

Practice Location

Address
11495 N. CALLISON STREET
City
Sutton
State
Alaska
ZIP Code
99674
Phone
(907) 631-7665

Authorized Official

Name
RONALD LEE OLSON
Title
EXECUTIVE VICE PRESIDENT FINANCE
Phone
(907) 729-4939

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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