Whalio Doctors

NPI 1154594216

Fairbanks Native Association

Organisation Substance Abuse Rehabilitation Facility Fairbanks, AK

Practice location

Address
3100 S Cushman St, Fairbanks, AK 99701-7516
Phone
(907) 452-6251
Fax
(907) 456-4849
Mailing address
605 Hughes Ave, Fairbanks, AK 99701-7539

Authorised official

Name
Guy M Patterson
Title
Bhs Director
Phone
(907) 452-6251

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 76821 (AK)

Registry record

NPI
1154594216
Entity type
Organization
NPI issued
10 Apr 2008
Record last updated
10 Apr 2008

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.