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Contact Information

MAT SU YOUTH HOUSING
800 N WASILLA FISHHOOK RD.
WASILLA, AK99654
 Phone: 907-373-4357
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for MAT SU YOUTH HOUSING

NPI # 1023832045
LBN Legal business name MAT SU YOUTH HOUSING
Authorized official KYRA MACKEY - (ADMINISTRATIVE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2024
Last updated 04/30/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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