Provider First Line Business Practice Location Address:
609 F ST
Provider Second Line Business Practice Location Address:
COVENANT HOUSE ALASKA
Provider Business Practice Location Address City Name:
ANCHORAGE
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99501-3533
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-339-4205
Provider Business Practice Location Address Fax Number:
907-272-1466
Provider Enumeration Date:
09/20/2011