| Polaris House Inc. | |
|
434 Willoughby Ave Juneau AK 99801-1724 | |
| (907) 780-6775 | |
| (907) 780-6774 |
| Full Name | Polaris House Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 434 Willoughby Ave, Juneau, Alaska |
| Authorized Official Name and Position | Dorothy Lucille Green (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9077806775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polaris House Inc. Po Box 21661 Juneau AK 99802-1661 Ph: (907) 780-6775 | Polaris House Inc. 434 Willoughby Ave Juneau AK 99801-1724 Ph: (907) 780-6775 |
| NPI Number | 1295170348 |
|---|---|
| Provider Enumeration Date | 05/02/2013 |
| Last Update Date | 05/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295170348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 914750 (Alaska) | Primary |
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