Presbyterian Hospitality House
Residential Treatment Facility, Emotionally Disturbed Children in Fairbanks, AK. Organization (NPI-2).
NPI number1457572299
StatusActive
Last updated in NPPESNov 1, 2012
Details
- NPI
- 1457572299
- Entity type
- Organization (NPI-2)
- Legal business name
- Presbyterian Hospitality House
- Organization subpart
- No
- Enumeration date
- May 1, 2007
- Last updated
- Nov 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | AK | Yes |
Other names
- Silverberry Home (Other Name)
Practice location
1260 Silverberry DrFairbanks, AK 99712-2736
Phone 907-456-6445 · Fax 907-456-6402
Mailing address
209 Forty Mile AveFairbanks, AK 99701-3110
Phone 907-456-6445 · Fax 907-456-6402
Authorized official
Drenda Tigner
Excutive Director
9074566445
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