| Freedom Behavioral Health Alaska Llc | |
|
10928 Eagle River Rd Ste 254 Eagle River AK 99577-8080 | |
| (907) 696-0221 | |
| (877) 875-9556 |
| Full Name | Freedom Behavioral Health Alaska Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 10928 Eagle River Rd Ste 254, Eagle River, Alaska |
| Authorized Official Name and Position | Kerry Clemetson (DIRECTOR OF BILLING/ CREDENTIALING) |
| Authorized Official Contact | 9134757713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Behavioral Health Alaska Llc 10928 Eagle River Rd Ste 254 Eagle River AK 99577-8080 Ph: (907) 696-0221 | Freedom Behavioral Health Alaska Llc 10928 Eagle River Rd Ste 254 Eagle River AK 99577-8080 Ph: (907) 696-0221 |
| NPI Number | 1003671348 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003671348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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