| Gastineau Human Services Corporation | |
|
1615 Anka St Juneau AK 99801 | |
| (907) 780-3011 | |
| (907) 780-4098 |
| Full Name | Gastineau Human Services Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1615 Anka St, Juneau, Alaska |
| Authorized Official Name and Position | Samantha Abernathy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9077803011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastineau Human Services Corporation 5597 Aisek St Juneau AK 99801 Ph: (907) 780-3011 | Gastineau Human Services Corporation 1615 Anka St Juneau AK 99801 Ph: (907) 780-3011 |
| NPI Number | 1720309693 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/06/2022 |
| Certification Date | 05/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720309693 | NPI | - | NPPES |
| DA3636 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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