Organization
ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZORA S LESUEUR LPN (PSYCHIATRIC NURSE/CLINICAL NURSE)
(907) 561-5309
Entity
Organization
Contact information
Practice address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 261-5309
Mailing address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 261-5309
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
6990
AK
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
6990
AK
310400000X
Assisted Living Facility
Primary
6990
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
574943789
—
AK
Enumeration date
05/14/2014
Last updated
05/14/2014
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