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Organization

COOK INLET TRIBAL COUNCIL, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY MOORE (REVENUE CYCLE MANAGER)
(907) 793-3350
Entity
Organization

Contact information

Practice address
7710 GRASS CREEK RD, ANCHORAGE, AK 99504-1811
(907) 793-3600
Mailing address
3600 SAN JERONIMO DR STE, ANCHORAGE, AK 99508-2869
(907) 793-3600

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
03/14/2025
Last updated
03/14/2025
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