| Hab Academy | |
|
15140 N Shore Dr Wasilla AK 99623-1403 | |
| (907) 203-9785 | |
| Not Available |
| Full Name | Hab Academy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15140 N Shore Dr, Wasilla, Alaska |
| Authorized Official Name and Position | Jaime Marie Lincoln (PRESIDENT) |
| Authorized Official Contact | 9072039785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hab Academy 7362 W Parks Hwy # 861 Wasilla AK 99623-9300 Ph: (907) 203-9785 | Hab Academy 15140 N Shore Dr Wasilla AK 99623-1403 Ph: (907) 203-9785 |
| NPI Number | 1043000482 |
|---|---|
| Provider Enumeration Date | 05/08/2025 |
| Last Update Date | 05/08/2025 |
| Certification Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043000482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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