Organization
COPPER RIVER NATIVE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL SANFORD (BEHAVIORAL HEALTH DIRECTOR)
(907) 822-5241
Entity
Organization
Contact information
Practice address
111.5 RICHARDSON HIGHWAY, COPPER CENTER, AK 99573
(907) 822-5241
Mailing address
PO BOX H, COPPER CENTER, AK 99573-0508
(907) 822-5241
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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