Organization
BRISTOL BAY AREA HEALTH CORPORATION
Active
Organization
BRISTOL BAY AREA HEALTH CORPORATION
Active
Other names
BRISTOL BAY COUNSELING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J CLARK (CHIEF EXECUTIVE OFFICER)
(907) 842-5201
Entity
Organization
Contact information
Practice address
6000 KANAKANAK ROAD, DILLINGHAM, AK 99576
(907) 842-5201
(907) 842-9250
Mailing address
PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-5201
(907) 842-9250
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH06990
—
AK
Enumeration date
03/13/2007
Last updated
04/04/2013
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