Organization · Type 2 NPI
State of Alaska Department of Administration
Emotionally Disturbed Childrens' Residential Treatment Facility · Juneau, AK
Practice location
130 Seward St, Suite 308
Juneau, AK 99801-2102
Fax (907) 465-3190
Mailing address
PO Box 110630
Juneau, AK 99811-0630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None 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.
About NPI 1467669150
State of Alaska Department of Administration's National Provider Identifier is 1467669150, issued on May 16, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Juneau, AK. The record was last updated on Jun 26, 2008.