Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BIG LAKE COUNTRY CLUB, LLC
Active OrganizationBIG LAKE COUNTRY CLUB, LLC is a Emotionally Disturbed Children Residential Treatment organization located in HOUSTON, Alaska. NPI 1639497415 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · HOUSTON, AK
Registration Details
- NPI Number
- 1639497415
- Provider Type
- Organization
- NPI Issued
- May 4, 2010 (16.30203773628 yrs)
- Last Updated
- Jul 5, 2023
- Licenses
-
CMG (AK)HCS (AK)940288 (AK)
Practice Information
- Address
-
12528 HAWK LANEHOUSTON, AK, 99694Browse AK providers · Browse ZIP 99694
- Phone
- 9078926944
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
- Additional Specialty
- Community/Behavioral Health
- Additional Specialty
- Emotionally Disturbed Children Residential Treatment
Other Emotionally Disturbed Children Residential Treatment Organizations in HOUSTON, AK
| Name | NPI |
|---|---|
| BIG LAKE COUNTRY CLUB | 1154580835 |
| BIG LAKE MENTAL HEALTH SERVICES | 1932339942 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.