Organization
ALASKA TREATMENT CENTER R&D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NANA AMPONG APRN (OWNER)
(907) 222-2448
Entity
Organization
Contact information
Practice address
1577 C ST STE 201, ANCHORAGE, AK 99501-5164
(907) 222-2448
Mailing address
1577 C ST STE 201, ANCHORAGE, AK 99501-5164
(907) 222-2448
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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