| Maniilaq Recovery Center | |
|
435 Second Street Ted Stevens Way Kotzebue AK 99752-0256 | |
| (907) 442-7648 | |
| (907) 442-7821 |
| Full Name | Maniilaq Recovery Center |
|---|---|
| Speciality | Counselor |
| Location | 435 Second Street Ted Stevens Way, Kotzebue, Alaska |
| Authorized Official Name and Position | Sherry Ann Kulukhon (TREATMENT SERVICES SUPERVISOR) |
| Authorized Official Contact | 9074427648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maniilaq Recovery Center 435 Second Street Ted Stevens Way Po Box 256 Kotzebue AK 99752-0256 Ph: (907) 442-7648 | Maniilaq Recovery Center 435 Second Street Ted Stevens Way Kotzebue AK 99752-0256 Ph: (907) 442-7648 |
| NPI Number | 1679799977 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 12/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679799977 | NPI | - | NPPES |
| MHO 212 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 3059 (Alaska) | Primary |
Maniilaq Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 2nd Ave, Kotzebue, AK 99752 Phone: 907-442-7640 Fax: 907-442-7749 | |
Alaskans Changing Together, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 241 5th Ave, Kotzebue, AK 99752 Phone: 907-412-2882 | |
Maniilaq Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 2nd Ave, Kotzebue, AK 99752 Phone: 907-442-7238 Fax: 907-442-7403 | |
Maniilaq Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Second Ave, Kotzebue, AK 99752 Phone: 907-442-7640 Fax: 907-442-7822 | |
Maniilaq Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 2nd Avenue, Kotzebue, AK 99752 Phone: 907-442-7630 | |
Maniilaq Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 436 5th And Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-3321 |