Organization
DESERT SPRING BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE MRZENA PMHNP-BC (CLINICAL DIRECTOR)
(907) 301-6668
Entity
Organization
Contact information
Practice address
290 N WILLOW ST, WASILLA, AK 99654-7042
(907) 203-1590
Mailing address
PO BOX 876023, WASILLA, AK 99687-6023
(907) 203-1590
(435) 674-9380
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
6593775-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/07/2014
Last updated
06/16/2021
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