Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ISAIAH JORDAN CLARK
Active Sole ProprietorISAIAH JORDAN CLARK is a Substance Abuse Rehabilitation Facility healthcare provider located in SITKA, Alaska. NPI 1417184961 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · SITKA, AK
Registration Details
- NPI Number
- 1417184961
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2009 (17.210616034337 yrs)
- Last Updated
- Jun 11, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
701 INDIAN RIVER RDSITKA, AK, 998357480Browse AK providers · Browse ZIP 99835
- Phone
- 9077473636
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.