| Spur Trail Ventures Llc | |
|
2526 Arlington Dr Anchorage AK 99517-1303 | |
| (617) 650-2207 | |
| Not Available |
| Full Name | Spur Trail Ventures Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2526 Arlington Dr, Anchorage, Alaska |
| Authorized Official Name and Position | Rachad Rayess (MANAGER) |
| Authorized Official Contact | 6176502207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spur Trail Ventures Llc 2526 Arlington Dr Anchorage AK 99517-1303 Ph: (617) 650-2207 | Spur Trail Ventures Llc 2526 Arlington Dr Anchorage AK 99517-1303 Ph: (617) 650-2207 |
| NPI Number | 1649096686 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649096686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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