| Organization Name: | KENAITZE INDIAN TRIBE |
| NPI Number: | 1023229010 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER YEOMAN (HUMAN SERVICES DIRECTOR) |
| Mailing Address: | 110 N Willow St Kenai |
| State: | AK US |
| Postal Code: | 996117701 |
| Phone Number: | 9072836693 |
| Fax Number: | 9072837088 |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Recovery Care |
| Taxonomy Definition: | |