Provider Demographics
NPI:1457022956
Name:PIMHA TREATMENT CENTER, LLC
Entity Type:Organization
Organization Name:PIMHA TREATMENT CENTER, LLC
Other - Org Name:PIMHA
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-519-2944
Mailing Address - Street 1:500 E TUDOR RD STE 202
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-7377
Mailing Address - Country:US
Mailing Address - Phone:907-519-2944
Mailing Address - Fax:
Practice Address - Street 1:500 E TUDOR RD STE 202
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-7377
Practice Address - Country:US
Practice Address - Phone:907-917-7298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No276400000XHospital UnitsRehabilitation, Substance Use Disorder UnitGroup - Multi-Specialty