Provider First Line Business Practice Location Address:
MY HOUSE YOUTH DROP-IN CENTER
Provider Second Line Business Practice Location Address:
300 N. WILLOW ST.
Provider Business Practice Location Address City Name:
WASILLA
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99654
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-947-9759
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/21/2024