Organization · Type 2 NPI

Presbyterian Hospitality House

Emotionally Disturbed Childrens' Residential Treatment Facility · Fairbanks, AK

NPI number 1962619643 Active

Practice location

209 Forty Mile Ave Ste 100
Fairbanks, AK 99701-3110

Call (907) 456-6445 Map

Fax (907) 456-6402

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 1962619643

Presbyterian Hospitality House's National Provider Identifier is 1962619643, issued on May 16, 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 Jul 21, 2022.