Southcentral Foundation

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1639537640

Southcentral Foundation is a Mental Health Clinic/Center (Including Community Mental Health Center) in Port Alsworth, Alaska. Licensed in Alaska. Registered with an NPI since 2016.

Licensed in: AK
In the registry since: 2016

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Practice location Address checks out

1 Flight Line Rd
Port Alsworth, AK 99653
Phone: (907) 729-4955

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary)	Taxonomy 261QM0801X · Licence 20467 (AK)

Record details

NPI number	1639537640
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Ronald Olson — Vp Finance · (907) 729-4939
Other names	Port Alsworth Bsd Clinic
NPI enumerated	February 4, 2016
Last updated in NPPES	March 15, 2016
Mailing address	4501 Diplomacy Dr, Anchorage, AK 99508-5919