Organization
AKEELA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY DONOVAN PHD (CEO)
(907) 433-7040
Entity
Organization
Contact information
Practice address
805 FRONTAGE RD STE 200B, KENAI, AK 99611-9122
(907) 283-6586
(907) 283-4029
Mailing address
360 W BENSON BLVD STE 300, ANCHORAGE, AK 99503-3953
(907) 565-1200
(907) 258-6052
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
274070
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1657541
—
AK
Enumeration date
10/20/2016
Last updated
12/16/2019
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