Organization Name: | KENAITZE INDIAN TRIBE |
NPI Number: | 1457491409 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER YEOMAN (HUMAN SRVS DIRECTOR) |
Mailing Address: | 110 N Willow St Kenai |
State: | AK US |
Postal Code: | 996117701 |
Phone Number: | 9072836693 |
Fax Number: | 9072837088 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |