# COPPER RIVER NATIVE ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669005856
- **Authorized official:** CECIL SANFORD (BEHAVIORAL HEALTH DIRECTOR)
- **Authorized official phone:** (907) 822-5241

## Contact information

- **Practice address:** 111.5 RICHARDSON HIGHWAY, COPPER CENTER, AK 99573
- **Practice address phone:** (907) 822-5241
- **Mailing address:** PO BOX H, COPPER CENTER, AK 99573-0508
- **Mailing address phone:** (907) 822-5241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 02/17/2020
- **Last updated:** 02/17/2020