Organization · Type 2 NPI

Fairbanks Native Association

Substance Abuse Rehabilitation Facility · Fairbanks, AK

NPI number 1578736211 Active

Practice location

1027 Evergreen St
Fairbanks, AK 99709-4306

Call (907) 451-8164 Map

Fax (907) 456-4849

Mailing address

315 Wendell Ave
Fairbanks, AK 99701-4837

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	76821 (AK)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

14 other providers at this address

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NPI record

NPI: 1578736211
Entity type: Organization (Type 2)
Issued: Apr 2, 2008
Last updated: Nov 8, 2019
Status: Active

Other names

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Women and Children's Center for Inner Healing · doing business as
Women and Children's Center for Inner Healing · doing business as

Authorized official

Perry Ahsogeak
BHS Director
(907) 452-6251

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1578736211

Fairbanks Native Association's National Provider Identifier is 1578736211, issued on Apr 2, 2008. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fairbanks, AK. The record was last updated on Nov 8, 2019.