COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE
Ambulatory Health at Kenai Spur Hwy, Kenai, AK

License number
Alaska 261QR0405X
Category
Ambulatory Health
Type
Rehabilitation, Substance Use Disorder
Owner
Name: MR. HENRY NOVAK
Title: EXECUTIVE DIRECTOR
Phone: (907) 283-3658
Address
Address
10200 Kenai Spur Hwy, Kenai, AK 99611
National Provider ID: 1174792972
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE

Kenai, AK

Industry:
Specialty Outpatient Clinic
Doing business as:
Cicada
Registration:
Dec 4, 1975
Phone:
(907) 283-3658 (Phone)
Addresses:
PO Box 882, Kenai, AK 99611 (Mailing)
10200 Kenai Spur Hwy, Kenai, AK 99611 (Physical)
State ID:
15101D
Business type:
Nonprofit Corporation
Expiration:
Perpetual
Executive Directors:
Catherine Delacee (Director, Secretary),Pat Robinson (Director, Vice President),Sharon Brower (Director, Treasurer, Owner, President),...

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