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Kenai Peninsula Community Care Center
Emotionally Disturbed Childrens' Residential Treatment Facility in Kenai, Alaska
NPI 1952440570

Kenai Peninsula Community Care Center is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Kenai, AK. Kenai Peninsula Community Care Center practices in Kenai, AK. The NPI Number for Kenai Peninsula Community Care Center is 1952440570 and holds a License No. 311415 (Alaska).

The current practice location address for Kenai Peninsula Community Care Center is 320 S Spruce St, Kenai, AK and can be reached out via phone at 907-283-7635 and via fax at 907-283-9575.

Location: 320 S Spruce St, Kenai, AK, 99611-7939
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952440570
Provider Name
Kenai Peninsula Community Care Center
Credential
Provider Entity Type
Organization
Address
320 S Spruce St, Kenai, AK, 99611-7939
Phone Number
907-283-7635
Fax Number
907-283-9575
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
320 S Spruce St
City
Kenai
State
Alaska
Zip
99611-7939
Phone Number
907-283-7635
Fax Number
907-283-9575
person
Provider Business Mailing Address Details
Address
320 S Spruce St
City
Kenai
State
Alaska
Zip
99611-7939
Phone Number
907-283-7635
Fax Number
907-283-9575
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
311415 (Alaska)
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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