| NPI | 1205159571 |
|---|---|
| Other Name | KETCHIKAN INDIAN COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | DEBBIE PATTON General Manager 907-228-4926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-11-24 |