NPI 1013205608

Tanana Chiefs Conference

Organisation Substance Abuse Rehabilitation Facility Fairbanks, AK

Practice location

Address: 201 1st Ave, Fairbanks, AK 99701-4848
Phone: (907) 451-8251
Fax: (907) 459-3810
Mailing address: 2223 Gillam Way, Fairbanks, AK 99701-6818

Authorised official

Name: Effie June Moe
Title: Camp Counselor
Phone: (907) 452-8251

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 3245S0500X (AK)

Other Substance Abuse Rehabilitation Facility providers in Alaska →

Registry record

NPI: 1013205608
Entity type: Organization
NPI issued: 15 Jul 2011
Record last updated: 15 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.