institution
Southcentral Foundation
Mental Illness Community Based Residential Treatment Facility in Anchorage, Alaska
NPI 1639102882

Southcentral Foundation is a Mental Illness Community Based Residential Treatment Facility based in Seattle, AK. Southcentral Foundation practices in Anchorage, AK. The NPI Number for Southcentral Foundation is 1639102882 and holds a License No. 20467 (Alaska).

The current practice location address for Southcentral Foundation is 4000 San Ernesto Ave, Anchorage, AK and can be reached out via phone at 907-729-5020.

Location: 4000 San Ernesto Ave, Anchorage, AK, 98124-5198
institution
Provider Profile Details
NPI Number
1639102882
Provider Name
Southcentral Foundation
Credential
Provider Entity Type
Organization
Address
4000 San Ernesto Ave, Anchorage, AK, 98124-5198
Phone Number
907-729-5020
Fax Number
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000855 05 AK
1021095 05 AK
institution
Provider Business Practice Location Address Details
Address
4000 San Ernesto Ave
City
State
Zip
99508-2874
Phone Number
907-729-5020
Fax Number
person
Provider Business Mailing Address Details
Address
4000 San Ernesto Ave
City
State
Zip
99508-2874
Phone Number
907-729-5020
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
20467 (Alaska)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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