Organization Name: | RAILBELT MENTAL HEALTH ASSOCIATION |
NPI Number: | 1104951615 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACI BOSCHERT (EXECUTIVE DIRECTOR) |
Mailing Address: | 207 East 2nd Street Nenana |
State: | AK US |
Postal Code: | 99760 |
Phone Number: | 9078325557 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 08/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 726807 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |