Organization
EASTERN ALEUTIAN TRIBES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CHRISTENSEN (EXECUTIVE DIRECTOR)
(907) 277-1440
Entity
Organization
Contact information
Practice address
527 MAIN ST., SAND POINT, AK 99661
(907) 383-3151
(907) 383-5688
Mailing address
3380 C ST, SUITE 100, ANCHORAGE, AK 99503-3920
(907) 277-1440
(907) 277-1446
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH4238
—
AK
Enumeration date
06/01/2007
Last updated
04/27/2010
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