Whalio Doctors

NPI 1467784140

Tanana Chiefs Conference

Organisation Mental Illness Community Based Residential Treatment Facility Fairbanks, AK

Practice location

Address
122 First Avenue 4th Floor, Fairbanks, AK 99701
Phone
(907) 459-3800
Fax
(907) 459-3810
Mailing address
122 1st Ave STE 4, Fairbanks, AK 99701-4871

Authorised official

Name
Eugene McCarty
Title
Residential Care Coordinator
Phone
(907) 459-3800

Registered specialties

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

Registry record

NPI
1467784140
Entity type
Organization
NPI issued
5 Feb 2010
Record last updated
5 Feb 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.