Maniilaq Association

NPI #1811199169 in Kotzebue, Alaska

Provider Information

NPI Number: 1811199169
Entity Type: Organization
Organization Name: Maniilaq Association
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: May 31, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 572 FRIENDS WAY
City: Kotzebue
State: Alaska
ZIP Code: 99752
Phone: (907) 442-7582

Authorized Official

Name: MS. KAREN DENISE SOURS
Title: PROGRAM COORDINATOR
Phone: (907) 442-7582

Specialties & Taxonomy Codes

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

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