Organization
KNIK TRIBE
Active
Parent organization
KNIK TRIBE
Other names
Benteh Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KNIK TRIBE
Authorized official
GILLIAN WRIGHT (BILLING MANAGER)
(907) 671-6871
Entity
Organization
Contact information
Practice address
780 S SNODGRASS DR, PALMER, AK 99645-9149
(907) 373-7991
Mailing address
2521 E MOUNTAIN VILLAGE DRIVE, STE B PMB 797, WASILLA, AK 99654
(907) 671-6871
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
11/23/2021
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