Organization
POLARIS HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY LUCILLE GREEN (EXECUTIVE DIRECTOR)
(907) 780-6775
Entity
Organization
Contact information
Practice address
434 WILLOUGHBY AVE, JUNEAU, AK 99801-1724
(907) 780-6775
(907) 780-6774
Mailing address
PO BOX 21661, JUNEAU, AK 99802-1661
(907) 780-6775
(907) 780-6774
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
914750
AK
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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