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Organization

KETCHIKAN INDIAN CORPORATION

Active
Other names
Ketchikan Indian Community
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE PATTON MBA (GENERAL MANAGER)
(907) 228-4926
Entity
Organization

Contact information

Practice address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-4941
(907) 228-4920
Mailing address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-4941
(907) 228-4920

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
03/01/2010
Last updated
11/24/2010
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