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Organization

NORTHERN HOPE CENTER

Active
Other names
Northern Hope Center
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN RENE BLACKBURN (EXECUTIVE DIRECTOR)
(907) 456-4610
Entity
Organization

Contact information

Practice address
909 CUSHMAN ST STE 103, FAIRBANKS, AK 99701-4668
(907) 456-4610
Mailing address
PO BOX 73189, FAIRBANKS, AK 99707-3189

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
174200000X
Meals Provider
175T00000X
Peer Specialist
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
261Q00000X
Clinic/Center
261QA0600X
Adult Day Care Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
Primary
324500000X
Substance Abuse Rehabilitation Facility
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
04/23/2024
Last updated
03/26/2025
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