NPI 1740531656
Tanana Chiefs Conference
Practice location
- Address
- 122 1st Ave STE 600, Fairbanks, AK 99701-4871
- Phone
- (907) 452-8251
Authorised official
- Name
- Jerry Issac
- Title
- Ceo
- Phone
- (907) 452-8251
Registered specialties (3)
Developmentally Disabled Services Day Training Agency
Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Child Intellectual and/or Developmental Disabilities Respite Care
Registry record
- NPI
- 1740531656
- Entity type
- Organization
- NPI issued
- 2 Oct 2012
- Record last updated
- 2 Oct 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.