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Organization

PIONEER PEAK MENTAL HEALTH INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN RASMUSSEN (MANAGER)
(907) 775-9042
Entity
Organization

Contact information

Practice address
193 E NEW FIELD DR, WASILLA, AK 99654-1416
(907) 373-6642
Mailing address
PO BOX 873103, WASILLA, AK 99687-3103
(907) 373-6642

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
814
AK

Other

Enumeration date
01/09/2015
Last updated
01/09/2015
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