| Set Free Alaska, Inc. | |
|
7010 E Bogard Rd Bldg 2 Wasilla AK 99654-4711 | |
| (907) 373-4732 | |
| Not Available |
| Full Name | Set Free Alaska, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7010 E Bogard Rd Bldg 2, Wasilla, Alaska |
| Authorized Official Name and Position | Megan Lindley (COMPLIANCE DIRECTOR) |
| Authorized Official Contact | 9072066055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Set Free Alaska, Inc. Po Box 876741 Wasilla AK 99687-6741 Ph: (907) 373-4732 | Set Free Alaska, Inc. 7010 E Bogard Rd Bldg 2 Wasilla AK 99654-4711 Ph: (907) 373-4732 |
| NPI Number | 1346886660 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346886660 | NPI | - | NPPES |
| 1585308 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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