PROVIDENCE HEALTH & SERVICES WASHINGTON

ANCHORAGE, AK
NPI1407945389
Doing Business AsCRISIS RECOVERY CENTER
Entity TypeOrganization
Authorized ContactDONALD ANDERSON
Director Reimbursment Admin
425-525-5392
Organization Subpart ?No
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: AK  NOT NUMBERED)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
2084P0802X Psychiatry & Neurology, Addiction Psychiatry
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
(Licence: AK  512146)
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2006-10-11
Last Update Date2017-09-01
Business Address
PROVIDENCE HEALTH & SERVICES WASHINGTON
3760 PIPER ST SUITE LL 139
ANCHORAGE, AK 99508-4665
Phone number: 907-563-5006
Mailing Address
PROVIDENCE HEALTH & SERVICES WASHINGTON
PO BOX 4105
PORTLAND, OR 97208-4105
Phone number: 866-907-1068