NPI 1942785464

Branching Out Supported Services LLC

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

Practice location

Address: 1584 Hilton Ave, Fairbanks, AK 99701-4016
Phone: (907) 987-9267

Authorised official

Name: Glenn Wrightsman
Title: Executive Director
Phone: (907) 987-9267

Registered specialties (2)

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

Residential Treatment Facilities Taxonomy 320900000X

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

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X

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

Registry record

NPI: 1942785464
Entity type: Organization
NPI issued: 1 Oct 2018
Record last updated: 14 Jul 2026

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.