Provider Demographics
NPI:1841478682
Name:CLIENT ADVOCACY PARTNERSHIP SERVICES
Entity type:Organization
Organization Name:CLIENT ADVOCACY PARTNERSHIP SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:BA PSYCHOLOGY
Authorized Official - Phone:907-776-7694
Mailing Address - Street 1:PO BOX 8206
Mailing Address - Street 2:
Mailing Address - City:NIKISKI
Mailing Address - State:AK
Mailing Address - Zip Code:99635-8206
Mailing Address - Country:US
Mailing Address - Phone:907-776-7694
Mailing Address - Fax:
Practice Address - Street 1:51739 EARL DR.
Practice Address - Street 2:
Practice Address - City:NIKISKI
Practice Address - State:AK
Practice Address - Zip Code:99635-8206
Practice Address - Country:US
Practice Address - Phone:907-776-7694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK739799251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCMG695Medicaid
AKPCG965Medicaid