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Organization
KETCHIKAN INDIAN CORPORATION
Active
Organization
KETCHIKAN INDIAN CORPORATION
Active
Other names
Ketchikan Indian Community
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE PATTON MBA (GENERAL MANAGER)
(907) 228-4926
Entity
Organization
Contact information
Practice address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-4941
(907) 228-4920
Mailing address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-4941
(907) 228-4920
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/01/2010
Last updated
11/24/2010
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