NPI 1255813655

O'Bies Adobe, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Wasilla, AK

Practice location

Address: 1790 N Centurian Pl APT 3, Wasilla, AK 99654-5470
Phone: (907) 244-6929
Mailing address: 4128 E Country Field Cir, Wasilla, AK 99654-6665

Authorised official

Name: Charles Edward O'Bryan
Title: Owner/Administrator
Phone: (907) 244-6929

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 10078143 (AK)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Alaska →

Registry record

NPI: 1255813655
Entity type: Organization
NPI issued: 31 Aug 2018
Record last updated: 31 Aug 2018

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.