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MANIILAQ ASSOCIATION NPI 1003005828


NPI Profile

NPI: 1003005828
Provider Name: MANIILAQ ASSOCIATION

Doing Business As: MANIILAQ RECOVERY CENTER

Classification:Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
722 SECOND AVE
KOTZEBUE, AK
ZIP 99752
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Phone: (907) 442-7640

MANIILAQ ASSOCIATION is a substance abuse rehabilitation facility in Kotzebue, AK. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MANIILAQ ASSOCIATION NPI is 1003005828. The provider is registered as an organization entity type.
The provider Is Doing Business As Maniilaq Recovery Center.

The provider's business location address is:

722 SECOND AVE
KOTZEBUE, AK
ZIP 99752-256
Phone: (907) 442-7640
Fax: (907) 442-7822

The provider's authorized official is Rocio Baquerizo .
The authorized official title is Deputy Director and has the following contact phone number (907) 442-7640.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 10/17/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityNo
2324500000XSubstance Abuse Rehabilitation FacilityALASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/7/2021

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