Organization
THE SALVATION ARMY CLITHEROE CENTER - DUAL DIAGNOSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELANE M KELLY (DIVISIONAL FINANCE DIRECTOR)
(907) 339-3406
Entity
Organization
Contact information
Practice address
8000 W END RD, ANCHORAGE, AK 99519
(907) 243-1181
Mailing address
143 E 9TH AVE, ANCHORAGE, AK 99501-3618
(907) 339-3406
(907) 276-2611
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
11806
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA4465
—
AK
Enumeration date
03/29/2007
Last updated
08/28/2007
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