Organization
HAVEN ALAKSA INC
Active
Other names
Haven
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE GUTHRIE PASTOR (DIRECTOR)
(907) 272-4411
Entity
Organization
Contact information
Practice address
419 L ST, ANCHORAGE, AK 99501-1924
(907) 272-4411
(907) 272-4412
Mailing address
419 L ST, ANCHORAGE, AK 99501-1924
(907) 272-4411
(907) 272-4412
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
118712
AK
2084P0802X
Addiction Psychiatry Physician
118712
AK
2084P0804X
Child & Adolescent Psychiatry Physician
118712
AK
261QM1300X
Multi-Specialty Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
—
AK
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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