| Hab Academy Llc | |
|
4314 S Pinnacle Peak Dr Wasilla AK 99623-0707 | |
| (907) 841-5911 | |
| Not Available |
| Full Name | Hab Academy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4314 S Pinnacle Peak Dr, Wasilla, Alaska |
| Authorized Official Name and Position | Becky Alaine Woitel (MANAGING MEMBER) |
| Authorized Official Contact | 9078415911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hab Academy Llc Po Box 874852 Wasilla AK 99687-4852 Ph: () - | Hab Academy Llc 4314 S Pinnacle Peak Dr Wasilla AK 99623-0707 Ph: (907) 841-5911 |
| NPI Number | 1578196192 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 02/21/2020 |
| Certification Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578196192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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