Organization
HART PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CRAWFORD ANP (REGISTERED AGENT)
(907) 433-9902
Entity
Organization
Contact information
Practice address
851 E WESTPOINT DR STE 302, WASILLA, AK 99654-7183
(907) 433-9902
Mailing address
6351 N BISHOP DR, WASILLA, AK 99654-9042
(907) 433-9902
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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