Organization
ANIRTURVIK TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERI LYNN JOHANSEN LMSW, MAC, QAP (ADMINISTRATOR)
(907) 671-1885
Entity
Organization
Contact information
Practice address
5960 W HOLLYWOOD RD, WASILLA, AK 99623-0516
(907) 671-1885
Mailing address
8158 W TIA TERRACE DR, WASILLA, AK 99623-0378
(907) 671-1885
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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