Organization
NATIVE VLLAGE OF EKLUTNA
Active
Other names
Eklutna Village Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JAMISON MARIE COLE MSW LCSW (SOCIAL SERVICE DIRECTOR)
907688601808
Entity
Organization
Contact information
Practice address
26339 EKLUTNA VILLAGE RD, CHUGIAK, AK 99567-5148
(907) 688-6031
(907) 688-6032
Mailing address
26339 EKLUTNA VILLAGE RD, CHUGIAK, AK 99567-5148
(907) 688-6031
(907) 688-6032
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1025602
AK
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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