Organization
INTERIOR AIDS ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA E NELSON (EXECUTIVE DIRECTOR)
(907) 452-4222
Entity
Organization
Contact information
Practice address
710 3RD AVE, FAIRBANKS, AK 99701-4455
(907) 452-4222
(907) 452-8176
Mailing address
PO BOX 71248, FAIRBANKS, AK 99707-1248
(907) 452-4222
(907) 452-8176
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
301795
AK
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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