Boys And Girls Home Of Alaska
Residential Treatment Facility, Emotionally Disturbed Children in Fairbanks, AK. Organization (NPI-2).
NPI number1457528366
StatusActive
Last updated in NPPESMay 9, 2008
Details
- NPI
- 1457528366
- Entity type
- Organization (NPI-2)
- Legal business name
- Boys And Girls Home Of Alaska
- Organization subpart
- Yes
- Enumeration date
- May 9, 2008
- Last updated
- May 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – | Yes |
Practice location
3101 Lathrop StreetFairbanks, AK 99707-0870
Phone 907-479-0560 · Fax 907-479-0560
Mailing address
3101 Lathrop StreetPo Box 70870
Fairbanks, AK 99707-0870
Phone 907-479-0560 · Fax 907-479-0560
Authorized official
Robert P Sheehan
Administrator
9074790560
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