Organization · Type 2 NPI

Boys and Girls Home of Alaska

Mental Illness Community Based Residential Treatment Facility · Fairbanks, AK

NPI number 1255631446 Active

Practice location

3101 Lathrop St
Fairbanks, AK 99701-7426

Call (712) 293-4700 Map

Fax (712) 293-4800

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X513478 (AK)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1255631446

Boys and Girls Home of Alaska's National Provider Identifier is 1255631446, issued on Oct 22, 2010. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Fairbanks, AK. The record was last updated on Oct 22, 2010.