Polaris House Inc.

NPI 1295170348 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1295170348
Enumeration Date 05/02/2013
Last Updated 05/02/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DOROTHY LUCILLE DOROTHY
Position EXECUTIVE DIRECTOR
Phone (907) 780-6775
Fax (907) 780-6774
Practice Location
434 WILLOUGHBY AVE
JUNEAU AK, 99801-1724, US
Phone (907) 780-6775
Fax (907) 780-6774
Business Location
PO BOX 21661
JUNEAU AK, 99802-1661, US
Phone (907) 780-6775
Fax (907) 780-6774
Toxanomy
Taxonomy Code 251S00000X
License State Alaska
License Number 914750
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According to our database, Polaris House Inc. NPI is 1295170348, taxonomy code is 251S00000X and license number is 914750, license state is located at Alaska. Polaris House Inc. physically located at 434 Willoughby Ave, Juneau AK, 99801-1724. NPI Number 1033115704 has the healthcare provider type.

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1295170348 NPI number is provided on an as is basis without warranty of any kind. 1295170348 is maintained by the National Plan & Provider Enumeration System. The contents of Polaris House Inc. are for informational purposes only.