Organization
FAIRBANKS COMMUNITY BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA JOAN WEAVER MA (ADULT THERAPIST)
(907) 455-5214
Entity
Organization
Contact information
Practice address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 452-1575
(907) 455-5287
Mailing address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 452-1575
(907) 455-5287
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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