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Southcentral Foundation
Mental Health Clinic/Center (Including Community Mental Health Center) in Port Alsworth, Alaska
NPI 1639537640

Southcentral Foundation is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Anchorage, AK and is specialized in Mental Health (Including Community Mental Health Center). Southcentral Foundation practices in Port Alsworth, AK. The NPI Number for Southcentral Foundation is 1639537640 and holds a License No. 20467 (Alaska).

The current practice location address for Southcentral Foundation is 1 Flight Line Road, Port Alsworth, AK and can be reached out via phone at 907-729-4955.

Location: 1 Flight Line Road, Port Alsworth, AK, 99508-5919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639537640
Provider Name
Southcentral Foundation
Credential
Provider Entity Type
Organization
Address
1 Flight Line Road, Port Alsworth, AK, 99508-5919
Phone Number
907-729-4955
Fax Number
Provider Enumeration Date
02/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Flight Line Road
City
Port Alsworth
State
Alaska
Zip
99653
Phone Number
907-729-4955
Fax Number
person
Provider Business Mailing Address Details
Address
1 Flight Line Road
City
Port Alsworth
State
Alaska
Zip
99653
Phone Number
907-729-4955
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
20467 (Alaska)
Definition
Definition to come...
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