Organization
PETERSBURG MENTAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN OHMER LCSW (DIRECTOR)
(907) 772-3332
Entity
Organization
Contact information
Practice address
201 NORTH NORDIC DRIVE, PETERSBURG, AK 99833-1309
(907) 772-3332
(888) 858-8850
Mailing address
PO BOX 1309, PETERSBURG, AK 99833-1309
(907) 772-3332
(888) 858-8850
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
282463
AK
1041C0700X
Clinical Social Worker
282463
AK
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
282463
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA1413
—
AK
05
—
MH1413
—
AK
Enumeration date
11/30/2006
Last updated
07/22/2010
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