Provider Demographics
NPI:1821201492
Name:NORTH SLOPE BOROUGH
Entity Type:Organization
Organization Name:NORTH SLOPE BOROUGH
Other - Org Name:CHILDREN AND YOUTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-852-2611
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:BARROW
Mailing Address - State:AK
Mailing Address - Zip Code:99723-0069
Mailing Address - Country:US
Mailing Address - Phone:907-852-0362
Mailing Address - Fax:907-852-0463
Practice Address - Street 1:2000 AHKOVAK ST
Practice Address - Street 2:
Practice Address - City:BARROW
Practice Address - State:AK
Practice Address - Zip Code:99723-0069
Practice Address - Country:US
Practice Address - Phone:907-852-0467
Practice Address - Fax:907-852-4145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK322D00000X251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK322D00000XOtherTAXONOMY