Organization
AKEELA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY DONOVAN (CEO)
(907) 433-7040
Entity
Organization
Contact information
Practice address
3050 FIFTH AVE, KETCHIKAN, AK 99901
(907) 225-4135
(907) 258-6052
Mailing address
360 W BENSON BLVD STE 300, ANCHORAGE, AK 99503-3953
(907) 565-1200
(907) 258-6052
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
942384
AK
261QC1500X
Community Health Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020971
—
AK
05
—
MH9200
—
AK
Enumeration date
08/18/2008
Last updated
07/02/2024
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