Southcentral Foundation

NPI #1780614263 in Mcgrath, Alaska

Provider Information

NPI Number: 1780614263
Entity Type: Organization
Organization Name: Southcentral Foundation
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHCENTRAL FOUNDATION
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 3, 2006
Last Updated: Sep 15, 2023

Practice Location

Address: 10 DNR ROAD
City: Mcgrath
State: Alaska
ZIP Code: 99627
Phone: (907) 524-3299

Authorized Official

Name: RONALD LEE OLSON
Title: EXECUTIVE VICE PRESIDENT FINANCE
Phone: (907) 729-4939

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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