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State Of Alaska Department Of Administration
Emotionally Disturbed Childrens' Residential Treatment Facility in Juneau, Alaska
NPI 1467669150

State Of Alaska Department Of Administration is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Juneau, AK. State Of Alaska Department Of Administration practices in Juneau, AK. The NPI Number for State Of Alaska Department Of Administration is 1467669150 and holds a License No. (Alaska).

The current practice location address for State Of Alaska Department Of Administration is 130 Seward St, Juneau, AK and can be reached out via phone at 907-465-5280 and via fax at 907-465-3190.

Location: 130 Seward St, Juneau, AK, 99811-0630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467669150
Provider Name
State Of Alaska Department Of Administration
Credential
Provider Entity Type
Organization
Address
130 Seward St, Juneau, AK, 99811-0630
Phone Number
907-465-5280
Fax Number
907-465-3190
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BR0021 05 AK
institution
Provider Business Practice Location Address Details
Address
130 Seward St
City
Juneau
State
Alaska
Zip
99801-2102
Phone Number
907-465-5280
Fax Number
907-465-3190
person
Provider Business Mailing Address Details
Address
130 Seward St
City
Juneau
State
Alaska
Zip
99801-2102
Phone Number
907-465-5280
Fax Number
907-465-3190
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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