Organization
CODI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN MITCHELL MS (PLL CLINICIAN)
(907) 745-2634
Entity
Organization
Contact information
Practice address
11921 E PALMER WASILLA HWY, PALMER, AK 99645-8833
(907) 745-2634
Mailing address
PO BOX 1907, PALMER, AK 99645-1907
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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