Organization
ACCA, INC.
Active
Other names
Alaska Center for Children & Adults
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEIDI HAAS MSML (EXECUTIVE DIRECTOR)
(907) 456-4003
Entity
Organization
Contact information
Practice address
1020 BARNETTE ST, FAIRBANKS, AK 99701-4502
(907) 456-4003
(907) 456-6214
Mailing address
1020 BARNETTE ST, FAIRBANKS, AK 99701-4502
(907) 456-4003
(907) 456-6214
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG264
—
AK
05
—
GR0141
—
AK
Enumeration date
05/09/2007
Last updated
10/01/2024
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