Provider Demographics
NPI:1730582446
Name:STARTING POINT
Entity type:Organization
Organization Name:STARTING POINT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/COUNSELOR SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRENNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-376-6116
Mailing Address - Street 1:230 E PAULSON AVE
Mailing Address - Street 2:76
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-7001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:230 E PAULSON AVE
Practice Address - Street 2:76
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7001
Practice Address - Country:US
Practice Address - Phone:907-376-6116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1400000818324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility