Big Lake Country Club
Big Lake Country Club is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Houston, Alaska. Licensed in Alaska. Registered with an NPI since 2008.
- Licensed in
- AK
- In the registry since
- 2008
Practice location Address checks out
12528 Hawk LnHouston, AK 99694-2528
Phone: (907) 892-6944
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 100554 (AK) |
|---|
Record details
| NPI number | 1154580835 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jess Adams — Staff Office · (907) 892-6944 |
| NPI enumerated | June 6, 2008 |
| Last updated in NPPES | July 22, 2009 |
| Mailing address | Po Box 299136, Wasilla, AK 99629-9136 |
Other providers in Houston
-
Big Lake Mental Health Services
12528 Hawk Ln, Houston, AK 99694-2528 · (907) 892-6946
-
Lynda J Plettner
12528 Hawk Ln, Houston, AK 99694-2528 · (907) 892-6944