Basic Information
| Provider Information | |||||||||
| NPI: | 1700086907 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JUNEAU ALLIANCE FOR MENTAL HEALTH, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3406 GLACIER HWY | ||||||||
| Address2: | |||||||||
| City: | JUNEAU | ||||||||
| State: | AK | ||||||||
| PostalCode: | 998019501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9074633303 | ||||||||
| FaxNumber: | 9074636858 | ||||||||
| Practice Location | |||||||||
| Address1: | 3406 GLACIER HWY | ||||||||
| Address2: | |||||||||
| City: | JUNEAU | ||||||||
| State: | AK | ||||||||
| PostalCode: | 998019501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9074633303 | ||||||||
| FaxNumber: | 9074636858 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2007 | ||||||||
| LastUpdateDate: | 07/25/2007 | ||||||||
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| AuthorizedOfficialLastName: | GARRETT | ||||||||
| AuthorizedOfficialFirstName: | MARIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | ACCOUNTANT 1 | ||||||||
| AuthorizedOfficialTelephone: | 9074633303 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 320800000X | Y | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness |
No ID Information.