Organization
J.C FAITH OPEN ARMS #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE MEWBORN (OWNER)
(907) 602-0818
Entity
Organization
Contact information
Practice address
8301 E 11TH CT UNIT 2, ANCHORAGE, AK 99504-2210
(907) 332-4730
(907) 332-4731
Mailing address
8301 E 11TH CT UNIT 2, ANCHORAGE, AK 99504-2210
(907) 332-4730
(907) 332-4731
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
941631
AK
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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