Individual
PITA MATAIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3609 RICHMOND AVE, ANCHORAGE, AK 99508-1134
(907) 201-9857
Mailing address
3609 RICHMOND AVE, ANCHORAGE, AK 99508-1134
(907) 201-9857
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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