Organization
SOUTHCENTRAL FOUNDATION
Active
Other names
Lifehouse BH
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LEE OLSON (VP OF FINANCE)
(701) 729-4939
Entity
Organization
Contact information
Practice address
11495 N CALLISON ST, SUTTON, AK 99674
(907) 745-0704
(907) 729-8607
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-5418
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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