National Provider Identifier Database

SOUTHCENTRAL FOUNDATION
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.


Contact Information

SOUTHCENTRAL FOUNDATION
10 DNR RD
MCGRATH, AK99627
Phone: 907-729-4987
Fax: 907-729-8607
Website:
Specialty Taxonomy Code
* Community/Behavioral Health 251S00000X
Rural Health 261QR1300X
Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for SOUTHCENTRAL FOUNDATION

NPI Number 1033712278
Legal business name
LBN
SOUTHCENTRAL FOUNDATION
Authorized official JONA TETZLOFF - (MANAGER OF REVENUE CYCLE)
Entity Organization
Organization subpart Yes
Enumeration date 11/19/2020
Last updated 11/20/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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