Organization
BETHESDA TREATMENT AND RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDDY RUKEMA KANIKI RPH (CEO)
(907) 412-1128
Entity
Organization
Contact information
Practice address
1100 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4219
(907) 412-1128
Mailing address
1100 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4219
(907) 412-1128
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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