| Eagle River Behavioral Health | |
|
12812 Old Glenn Hwy Ste C4 Eagle River AK 99577-7002 | |
| (907) 726-0378 | |
| (907) 726-0374 |
| Full Name | Eagle River Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 12812 Old Glenn Hwy Ste C4, Eagle River, Alaska |
| Authorized Official Name and Position | Catherine Haese (OWNER) |
| Authorized Official Contact | 9073175883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle River Behavioral Health Po Box 770870 Eagle River AK 99577-0870 Ph: (907) 726-0378 | Eagle River Behavioral Health 12812 Old Glenn Hwy Ste C4 Eagle River AK 99577-7002 Ph: (907) 726-0378 |
| NPI Number | 1073307328 |
|---|---|
| Provider Enumeration Date | 04/09/2025 |
| Last Update Date | 04/09/2025 |
| Certification Date | 04/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073307328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
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