NPI 1639425812

Presbyterian Hospitality House

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Wasilla, AK

Practice location

Address: 6969 S Hood CT, Wasilla, AK 99624
Phone: (907) 357-0487
Fax: (907) 376-6402
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: 1639425812
Entity type: Organization
NPI issued: 25 Jul 2012
Record last updated: 5 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.