PROVIDENCE KODIAK ISLAND COUNSELING CENTER

KODIAK, AK
NPI1376141929
Entity TypeOrganization
Authorized ContactDONALD W ANDERSON
Asst Sec For Enrollent/Dir Reimb
425-525-5392
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2020-10-15
Last Update Date2020-10-15
Business Address
PROVIDENCE KODIAK ISLAND COUNSELING CENTER
717 E REZANOF DR
KODIAK, AK 99615-6416
Phone number: 907-481-2400
Mailing Address
PROVIDENCE KODIAK ISLAND COUNSELING CENTER
PO BOX 3290
PORTLAND, OR 97208-3290
Phone number: 907-481-2000