NPI 1598013096

Presbyterian Hospitality House

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Palmer, AK

Practice location

Address: 1145 W Granville St, Palmer, AK 99645-7118
Phone: (907) 456-6445
Fax: (907) 456-6402
Mailing address: 209 Forty Mile Ave, Fairbanks, AK 99701-3110

Authorised official

Name: Drenda M Tigner
Title: Ceo
Phone: (907) 456-6445

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 1639 (AK)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Alaska →

Registry record

NPI: 1598013096
Entity type: Organization
NPI issued: 15 Aug 2012
Record last updated: 1 Nov 2012

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.