| Codi, Inc. | |
|
11921 E Palmer Wasilla Hwy Palmer AK 99645-8833 | |
| (907) 745-2634 | |
| Not Available |
| Full Name | Codi, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11921 E Palmer Wasilla Hwy, Palmer, Alaska |
| Authorized Official Name and Position | Lee Ann Mitchell (PLL CLINICIAN) |
| Authorized Official Contact | 9077452634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Codi, Inc. Po Box 1907 Palmer AK 99645-1907 Ph: () - | Codi, Inc. 11921 E Palmer Wasilla Hwy Palmer AK 99645-8833 Ph: (907) 745-2634 |
| NPI Number | 1205267473 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 12/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205267473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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