AUGUST CHARLES AGA

ANCHORAGE, AK
NPI1760954184
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AK  1847)
Enumeration Date2018-12-24
Last Update Date2018-12-24
Business Address
AUGUST CHARLES AGA CDC1/BHC1
1840 BRAGAW ST STE 110
ANCHORAGE, AK 99508-3463
Phone number: 907-562-4155
Mailing Address
AUGUST CHARLES AGA CDC1/BHC1
5350 E REVOLUTIONARY WAY # 870238
WASILLA, AK 99654-6715
Phone number: 907-562-4155