Maniilaq Association

NPI #1679799977 in Kotzebue, Alaska

Provider Information

NPI Number: 1679799977
Entity Type: Organization
Organization Name: Maniilaq Association
Subpart: Yes (part of a larger organization)
Parent Organization: MANIILAQ ASSOCIATION
Primary Specialty: Counselor
Enumeration Date: Apr 17, 2007
Last Updated: Dec 22, 2008

Practice Location

Address: 435 SECOND STREET TED STEVENS WAY
City: Kotzebue
State: Alaska
ZIP Code: 99752-0256
Phone: (907) 442-7648

Authorized Official

Name: MS. SHERRY ANN KULUKHON, CCDCI
Title: TREATMENT SERVICES SUPERVISOR
Phone: (907) 442-7648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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