Provider Demographics
NPI:1932831252
Name:GASTINEAU HUMAN SERVICES CORPORATION
Entity Type:Organization
Organization Name:GASTINEAU HUMAN SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDEE
Authorized Official - Middle Name:
Authorized Official - Last Name:NROWN-MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-780-3055
Mailing Address - Street 1:5597 AISEK ST
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801
Mailing Address - Country:US
Mailing Address - Phone:907-780-4338
Mailing Address - Fax:907-780-4098
Practice Address - Street 1:5597 AISEK ST
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801
Practice Address - Country:US
Practice Address - Phone:907-780-4338
Practice Address - Fax:907-780-4098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health