Presbyterian Hospitality House

NPI #1598013096 in Palmer, Alaska

Provider Information

NPI Number
1598013096
Entity Type
Organization
Organization Name
Presbyterian Hospitality House
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Aug 15, 2012
Last Updated
Nov 1, 2012

Practice Location

Address
1145 W GRANVILLE ST
City
Palmer
State
Alaska
ZIP Code
99645-7118
Phone
(907) 456-6445

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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