NPI 1255631446

Boys and Girls Home of Alaska

Organisation Mental Illness Community Based Residential Treatment Facility 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

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 513478 (AK)

Other Community Based Residential Treatment Facility, Mental Illness providers in Alaska →

Registry record

NPI: 1255631446
Entity type: Organization
NPI issued: 22 Oct 2010
Record last updated: 22 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.