Organization
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Active
Organization
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Active
Other names
SEARHC RAVEN'S WAY-BLACK BEAR
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL HARRIS (SEVP/CFO)
(907) 463-4000
Entity
Organization
Contact information
Practice address
10815 BLACK BEAR RD, JUNEAU, AK 99801-8783
(907) 789-7610
Mailing address
3100 CHANNEL DR STE 300, JUNEAU, AK 99801-7837
(907) 463-4074
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70206
STATE OF ALASKA
AK
Enumeration date
03/13/2023
Last updated
03/13/2023
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