Provider Demographics
NPI:1659566610
Name:CENTER FOR COMMUNITY
Entity Type:Organization
Organization Name:CENTER FOR COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SIPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-747-6960
Mailing Address - Street 1:700 KATLIAN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-7314
Mailing Address - Country:US
Mailing Address - Phone:907-747-6960
Mailing Address - Fax:
Practice Address - Street 1:700 KATLIAN ST
Practice Address - Street 2:SUITE B
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-7314
Practice Address - Country:US
Practice Address - Phone:907-747-6960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management