MAT-SU ACTIVITY AND RESPITE CE — OIG Excluded Provider (WASILLA, AK, 1128a1)
MAT-SU ACTIVITY AND RESPITE CE — OIG Excluded Provider (WASILLA, AK, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MAT-SU ACTIVITY AND RESPITE CE; Type: Entity; Provider category: OTHER BUSINESS.
| Name | MAT-SU ACTIVITY AND RESPITE CE |
|---|---|
| Type | Entity |
| Provider category | OTHER BUSINESS |
| Specialty | MENTAL/BEHAVIORAL HE |
| NPI | 1679603740 |
| City | WASILLA |
| State | AK |
| ZIP | 99654 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 2015-10-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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