Organization
ALASKA ISLAND COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WALKER LCSW (EXECUTIVE DIRECTOR)
(907) 874-2373
Entity
Organization
Contact information
Practice address
333 CHURCH STREET, WRANGELL, AK 99929-1231
(907) 874-2373
Mailing address
PO BOX 1231, WRANGELL, AK 99929-1231
(907) 874-2373
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
253502
AK
Other
Enumeration date
05/01/2007
Last updated
10/29/2008
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