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Organization
BETHESDA TREATMENT AND RECOVERY CENTER LLC
Active
Organization
BETHESDA TREATMENT AND RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDDY RUKEMA KANIKI RPH (CEO)
(907) 412-1128
Entity
Organization
Contact information
Practice address
1100 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4219
(907) 412-1128
Mailing address
1100 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4219
(907) 412-1128
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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