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Contact Information

THE SALVATION ARMY CLITHEROE CENTER - DUAL DIAGNOSIS
8000 W END RD
ANCHORAGE, AK99519
 Phone: 907-243-1181
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for THE SALVATION ARMY CLITHEROE CENTER - DUAL DIAGNOSIS

NPI # 1124147905
LBN Legal business name THE SALVATION ARMY CLITHEROE CENTER - DUAL DIAGNOSIS
Authorized official ADELANE KELLY - (DIVISIONAL FINANCE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2007
Last updated 08/28/2007 - About 19 years ago
Identifiers
AK License # 11806
AK Medicaid DA4465
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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