Providence Health & Services - Washington

NPI #1659483113 in Anchorage, Alaska

Provider Information

NPI Number
1659483113
Entity Type
Organization
Organization Name
Providence Health & Services - Washington
Primary Specialty
Psychiatric Residential Treatment Facility
Enumeration Date
Aug 31, 2006
Last Updated
May 15, 2025

Practice Location

Address
3210 W 62ND AVE
State
Alaska
ZIP Code
99502
Phone
(907) 212-2040

Authorized Official

Name
DONALD W. ANDERSON JR.
Title
ASSISTANT SECRETARY OF ENROLLMENTS
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility

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