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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