Kenai Peninsula Community Care So

NPI #1972945889 in Kenai, Alaska

Provider Information

NPI Number: 1972945889
Entity Type: Organization
Organization Name: Kenai Peninsula Community Care So
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jul 19, 2013
Last Updated: Jul 19, 2013

Practice Location

Address: 320 S SPRUCE ST
City: Kenai
State: Alaska
ZIP Code: 99611-7939
Phone: (907) 283-7635

Authorized Official

Name: TAMARA BIDWELL, BA IN PSYCHOLOGY
Title: EXECUTIVE DIRECTOR
Phone: (907) 283-7635

Specialties & Taxonomy Codes

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

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