| My House | |
|
300 N Willow St Wasilla AK 99654-7042 | |
| (907) 373-4358 | |
| Not Available |
| Full Name | My House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 N Willow St, Wasilla, Alaska |
| Authorized Official Name and Position | Rebecca A Ling (DIRECTOR OF BH) |
| Authorized Official Contact | 9078306788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My House 300 N Willow St Wasilla AK 99654-7042 Ph: (907) 373-4358 | My House 300 N Willow St Wasilla AK 99654-7042 Ph: (907) 373-4358 |
| NPI Number | 1417711011 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 03/08/2024 |
| Certification Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417711011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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