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Southcentral Foundation — NPI 1194987370, Anchorage, AK | NPI Central

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NPI 1194987370

OrganizationActive

Southcentral Foundation

NPI 1194987370 · Psychiatric Residential Treatment Facility · Anchorage, AK

Provider details

NPI number: 1194987370
Entity type: Organization
Primary specialty: Psychiatric Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Ronald Olson, Vp of Finance(907) 729-4939
License: 20467 (AK)

Specialties & taxonomies

Psychiatric Residential Treatment FacilityPrimary323P00000XLicense 20467 (AK)
Residential Treatment Facilities

Practice location

4353 Rendezvous Cir

Anchorage, AK 99504-4219

Phone: (907) 729-5020

Approximate (ZIP-level) locationGet directions

More AK providers

Mailing address

4501 Diplomacy Dr

Anchorage, AK 99508-5919

Other names (DBA / former)

Doing business as: The Pathway Home Rendezvous

Registry dates

Enumerated: 2008-06-27
Last updated: 2016-01-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.