Provider Demographics
NPI:1619177813
Name:JUNEAU ALLIANCE FOR MENTAL HEALTH INC
Entity Type:Organization
Organization Name:JUNEAU ALLIANCE FOR MENTAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT 1
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-463-3303
Mailing Address - Street 1:3406 GLACIER HWY
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-9501
Mailing Address - Country:US
Mailing Address - Phone:907-463-3303
Mailing Address - Fax:907-463-6858
Practice Address - Street 1:3406 GLACIER HWY
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-9501
Practice Address - Country:US
Practice Address - Phone:907-463-3303
Practice Address - Fax:907-463-6858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness