Organization
MANIILAQ ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LORI ATORUK (COUNSELOR TRAINEE)
(907) 475-2291
Entity
Organization
Contact information
Practice address
435 SECOND STREET TED STEVENS WAY, KOTZEBUE, AK 99752-0256
(907) 442-7640
Mailing address
P.O. BOX 256, 435 SECOND STREET TED STEVENS WAY, KOTZEBUE, AK 99752-0256
(907) 442-7640
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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