Organization
MANIILAQ ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY JONES (CDC OPERATION SUPERVISOR)
(907) 442-7648
Entity
Organization
Contact information
Practice address
733 2ND AVENUE, KOTZEBUE, AK 99752
(907) 442-7630
Mailing address
P.O. BOX 256, KOTZEBUE, AK 99752
(907) 484-2199
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
AK
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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