FOOTHILLS BEHAVIORAL HEALTH is a psychiatric/mental health nurse practitioner in Eagle River, AK. FOOTHILLS BEHAVIORAL HEALTH NPI is 1992461420. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
16635 CENTERFIELD DR STE 204
EAGLE RIVER, AK
ZIP 99577-746
Phone: (907) 694-2300
Fax: (907) 694-2330
The provider's authorized official is Jason Martin .
The authorized official title is Owner and has the following contact phone number (208) 360-0288.
The CLIA number assigned to this NPI record is 02D2290822 - other - pmhnp-bc with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/9/2021 and was last updated on 11/29/2021.