# FAMILY CENTERED SERVICES OF ALASKA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780274589
- **Authorized official:** ALLISON J BENJAMIN (CFO)
- **Authorized official phone:** (907) 474-0890

## Contact information

- **Practice address:** 301 E DANNA AVE, WASILLA, AK 99654-6422
- **Practice address phone:** (907) 474-0890
- **Mailing address:** 1825 MARIKA RD, FAIRBANKS, AK 99709-5521
- **Mailing address phone:** (907) 474-0890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2021
- **Last updated:** 01/25/2021
