Organization
CO OCCURING DISORDERS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BUTLER (FINANCE DIRECTOR)
(907) 745-2634
Entity
Organization
Contact information
Practice address
280 W SHERIDAN CIR APT 1, WASILLA, AK 99654-0526
(907) 745-2634
Mailing address
208 WEST SHERIDAN CIRCLE #1, WASILLA, AK 99654
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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