Organization
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.
Active
Organization
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.
Active
Other names
Behavioral Health Under 1115 Waiver
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN J WRIGHT (CEO)
(907) 260-7314
Entity
Organization
Contact information
Practice address
230 E MARYDALE AVE, SOLDOTNA, AK 99669-7648
(907) 262-3119
(907) 262-9290
Mailing address
PO BOX 2949, SOLDOTNA, AK 99669-2949
(907) 260-7303
(907) 260-7358
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
04/25/2023
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