Organization
MANIILAQ ASSOCIATION
Active
Other names
Putyuk Children's Home
Organization subpart
No
Provider details
NPI number
Authorized official
YANGSUN HAN-IM (OTHER)
(907) 442-7612
Entity
Organization
Contact information
Practice address
572 FRIENDS WAY, KOTZEBUE, AK 99752
(907) 442-7581
Mailing address
PO BOX 256, KOTZEBUE, AK 99752-0256
(907) 442-7581
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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