institution
Big Lake Mental Health Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Houston, Alaska
NPI 1932339942

Big Lake Mental Health Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Wasilla, AK. Big Lake Mental Health Services practices in Houston, AK. The NPI Number for Big Lake Mental Health Services is 1932339942 and holds a License No. HC78981 (Alaska).

The current practice location address for Big Lake Mental Health Services is 12528 Hawk Lane, Houston, AK and can be reached out via phone at 907-892-6946 and via fax at 907-892-6945.

Location: 12528 Hawk Lane, Houston, AK, 99629-9136
institution
Provider Profile Details
NPI Number
1932339942
Provider Name
Big Lake Mental Health Services
Credential
Provider Entity Type
Organization
Address
12528 Hawk Lane, Houston, AK, 99629-9136
Phone Number
907-892-6946
Fax Number
907-892-6945
Provider Enumeration Date
07/24/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HC78981 05 AK
institution
Provider Business Practice Location Address Details
Address
12528 Hawk Lane
City
State
Zip
99694-2528
Phone Number
907-892-6946
Fax Number
907-892-6945
person
Provider Business Mailing Address Details
Address
12528 Hawk Lane
City
State
Zip
99694-2528
Phone Number
907-892-6946
Fax Number
907-892-6945
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
HC78981 (Alaska)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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