Whalio Doctors

NPI 1154565133

Tanana Chiefs Conference

Organisation Mental Illness Community Based Residential Treatment Facility Fairbanks, AK

Practice location

Address
122 1st Ave STE 4, Fairbanks, AK 99701-4871
Phone
(907) 459-3800
Fax
(907) 459-3810

Authorised official

Name
Siobhan Lynch
Title
Behavioral Health Director
Phone
(907) 459-3800

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1154565133
Entity type
Organization
NPI issued
22 Apr 2009
Record last updated
22 Apr 2009

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.