# MANIILAQ ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Putyuk Children's Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790350049
- **Authorized official:** YANGSUN HAN-IM (OTHER)
- **Authorized official phone:** (907) 442-7612

## Contact information

- **Practice address:** 572 FRIENDS WAY, KOTZEBUE, AK 99752
- **Practice address phone:** (907) 442-7581
- **Mailing address:** PO BOX 256, KOTZEBUE, AK 99752-0256
- **Mailing address phone:** (907) 442-7581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2021
- **Last updated:** 05/20/2021
