NPI 1225338189

Boys and Girls Home of Alaska

Organisation Child & Adolescent Psychiatry Physician Fairbanks, AK

Practice location

Address: 3101 Lathrop St, Fairbanks, AK 99701-7426
Phone: (712) 293-4700
Fax: (712) 293-4800

Authorised official

Name: Richard C Brown
Title: Medical Director
Phone: (712) 293-4700

Registered specialties

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X

Other Psychiatry & Neurology providers in Alaska →

Registry record

NPI: 1225338189
Entity type: Organization
NPI issued: 26 Oct 2010
Record last updated: 26 Oct 2010

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.