Organization
SPIRITUAL RESTORATION MINISTRY LLC.
Active
Other names
READY SET LAUNCH REENTRY PROGRAM AND SUPPORT SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORDLES WALKER RODRIGUEZ ETC (DEPUTY DIRECTOR)
(907) 992-2320
Entity
Organization
Contact information
Practice address
1601 E 84TH AVE STE 203, ANCHORAGE, AK 99507-3160
(907) 887-6584
Mailing address
1601 E 84TH AVE STE 203, ANCHORAGE, AK 99507-3160
(907) 992-2320
(907) 344-1134
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
01/08/2019
Last updated
02/27/2019
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