Presbyterian Hospitality House

NPI #1639425812 in Wasilla, Alaska

Provider Information

NPI Number: 1639425812
Entity Type: Organization
Organization Name: Presbyterian Hospitality House
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jul 25, 2012
Last Updated: Nov 5, 2012

Practice Location

Address: 6969 S HOOD CT
City: Wasilla
State: Alaska
ZIP Code: 99624
Phone: (907) 357-0487

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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