OrganizationActive
Big Lake Mental Health Services
NPI 1932339942 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Houston, AK
Provider details
- NPI number
- 1932339942
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jess Adams, Bookkeeper(907) 892-6946
- License
- HC78981 (AK)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense HC78981 (AK)
Residential Treatment Facilities
Practice location
12528 Hawk Lane
Houston, AK 99694-2528
Phone: (907) 892-6946
Fax: (907) 892-6945
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 299136
Wasilla, AK 99629-9136
Registry dates
- Enumerated
- 2009-07-24
- Last updated
- 2009-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.