Codi, Inc. | |
11921 E Palmer Wasilla Hwy Palmer AK 99645-8833 | |
(907) 745-2634 | |
Not Available |
Full Name | Codi, Inc. |
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Speciality | Community/behavioral Health |
Location | 11921 E Palmer Wasilla Hwy, Palmer, Alaska |
Authorized Official Name and Position | Lee Ann Mitchell (PLL CLINICIAN) |
Authorized Official Contact | 9077452634 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Codi, Inc. Po Box 1907 Palmer AK 99645-1907 Ph: () - | Codi, Inc. 11921 E Palmer Wasilla Hwy Palmer AK 99645-8833 Ph: (907) 745-2634 |
NPI Number | 1205267473 |
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Provider Enumeration Date | 12/12/2013 |
Last Update Date | 12/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205267473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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