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1366062903
EAGLE RIVER BEHAVIORAL HEALTH, LLC
EAGLE RIVER, AK
NPI
1366062903
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Entity Type
Organization
Authorized Contact
ZAN WHITMAN
Provider
907-726-0378
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2020-04-23
Last Update Date
2023-05-01
Business Address
EAGLE RIVER BEHAVIORAL HEALTH, LLC
12812 OLD GLENN HWY STE C4
EAGLE RIVER, AK 99577-7002
Phone number: 907-726-0378
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Mailing Address
EAGLE RIVER BEHAVIORAL HEALTH, LLC
PO BOX 770870
EAGLE RIVER, AK 99577-0870
Phone number: 907-290-7033
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