Organization
ORION BEHAVIORAL HEALTH NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELLEN DESRUISSEAU (CFO)
(907) 360-1566
Entity
Organization
Contact information
Practice address
16600 CENTERFIELD DR STE 4, EAGLE RIVER, AK 99577-7702
(907) 696-7466
(907) 726-0332
Mailing address
200 2ND AVE S # 489, SAINT PETERSBURG, FL 33701-4313
(907) 360-1566
(907) 726-0032
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
935267
AK
Other
Enumeration date
01/11/2012
Last updated
03/11/2025
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