Organization · Type 2 NPI

Presbyterian Hospitality House

Emotionally Disturbed Childrens' Residential Treatment Facility · Fairbanks, AK

NPI number 1629299441 Active

Practice location

3809 Mitchell Ave
Fairbanks, AK 99709-4638

Call (907) 456-6445 Map

Fax (907) 456-6402

Mailing address

209 Forty Mile Ave
Fairbanks, AK 99701-3110

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.

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About NPI 1629299441

Presbyterian Hospitality House's National Provider Identifier is 1629299441, issued on May 1, 2007. 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 Nov 1, 2012.