| Good Side Out | |
|
801 Northway Drive #140191 Anchorage AK 99508-0039 | |
| (907) 677-7636 | |
| Not Available |
| Full Name | Good Side Out |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 801 Northway Drive, Anchorage, Alaska |
| Authorized Official Name and Position | Deborah E. Stamm (OWNER) |
| Authorized Official Contact | 9076777636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Side Out 801 Northway Drive #140191 Anchorage AK 99508-0039 Ph: (907) 677-7636 | Good Side Out 801 Northway Drive #140191 Anchorage AK 99508-0039 Ph: (907) 677-7636 |
| NPI Number | 1720318736 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 03/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720318736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 596 (Alaska) | Primary |
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