Organization · Type 2 NPI

Boys and Girls Home of Alaska

Emotionally Disturbed Childrens' Residential Treatment Facility · Fairbanks, AK

NPI number 1457528366 Active

Practice location

3101 Lathrop Street
Fairbanks, AK 99707-0870

Fax (907) 479-0560

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1457528366

Boys and Girls Home of Alaska's National Provider Identifier is 1457528366, issued on May 9, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Fairbanks, AK. The record was last updated on May 9, 2008.