OrganizationActive
Mat-Su Services for Children & Adults
NPI 1063564433 · Developmentally Disabled Services Day Training Agency · Wasilla, AK
Provider details
- NPI number
- 1063564433
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kaleb Johnson, Executive Director(907) 352-1200
- License
- 403503 (AK)
Specialties & taxonomies
Agencies
Practice location
1225 W Spruce Ave
Wasilla, AK 99654-5326
Phone: (907) 352-1200
Fax: (907) 352-1249
Approximate (ZIP-level) locationGet directions
Mailing address
1225 W Spruce Ave
Wasilla, AK 99654-5326
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2025-11-25
- Certified
- 2025-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.