# SOUTHCENTRAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Pathway Home Rendezvous
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194987370
- **Authorized official:** RONALD LEE OLSON (VP OF FINANCE)
- **Authorized official phone:** (907) 729-4939

## Contact information

- **Practice address:** 4353 RENDEZVOUS CIR, ANCHORAGE, AK 99504-4219
- **Practice address phone:** (907) 729-5020
- **Mailing address:** 4501 DIPLOMACY DR, ATTN: PROVIDER ENROLLMENT, ANCHORAGE, AK 99508-5919
- **Mailing address phone:** (907) 729-4955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 20467 | AK | Yes |

## Other

- **Enumeration date:** 06/27/2008
- **Last updated:** 01/28/2016