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Organization

MANIILAQ ASSOCIATION

Active
Other names
Maniilaq Recovery Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROCIO BAQUERIZO (DEPUTY DIRECTOR)
(907) 442-7640
Entity
Organization

Contact information

Practice address
722 SECOND AVE, KOTZEBUE, AK 99752-0256
(907) 442-7640
(907) 442-7822
Mailing address
722 SECOND AVE, KOTZEBUE, AK 99752-0256
(907) 442-7640
(907) 442-7822

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
AK
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
10/17/2007
Last updated
10/17/2007
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