Organization
SOUTH PENINSULA BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY CARSSOW LPA (DIRECTOR)
19072353738
Entity
Organization
Contact information
Practice address
3948 BEN WALTERS LN, HOMER, AK 99603-7708
(190) 723-5770
Mailing address
3948 BEN WALTERS LN, HOMER, AK 99603-7708
(190) 723-5770
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
106280
AK
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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