Organization
SOUTH PENINSULA BEHAVIORAL HEALTH SERVICES INC
Active
Other names
Community Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY BECHTOL (CEO)
(907) 235-9229
Entity
Organization
Contact information
Practice address
3948 BEN WALTERS LN, HOMER, AK 99603-7708
(907) 235-7701
Mailing address
3948 BEN WALTERS LN, HOMER, AK 99603-7708
(907) 235-7701
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020987
—
AK
Enumeration date
08/01/2006
Last updated
05/09/2017
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