Native Vllage of Eklutna

NPI #1649642786 in Chugiak, Alaska

Provider Information

NPI Number: 1649642786
Entity Type: Organization
Organization Name: Native Vllage of Eklutna
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 28, 2015
Last Updated: Oct 28, 2015

Practice Location

Address: 26339 EKLUTNA VILLAGE RD
City: Chugiak
State: Alaska
ZIP Code: 99567-5148
Phone: (907) 688-6031

Authorized Official

Name: JAMISON MARIE COLE, MSW LCSW
Title: SOCIAL SERVICE DIRECTOR
Phone: 907688601808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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