Organization
BOYS AND GIRLS HOME OF ALASKA
Active
Parent organization
BOYS AND GIRLS HOME AND FAMILY SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOYS AND GIRLS HOME AND FAMILY SERVICES, INC.
Authorized official
DR. RICHARD C BROWN JR. M.D. (MEDICAL DIRECTOR)
(712) 293-4700
Entity
Organization
Contact information
Practice address
3101 LATHROP ST, FAIRBANKS, AK 99701-7426
(712) 293-4700
(712) 293-4800
Mailing address
3101 LATHROP ST, FAIRBANKS, AK 99701-7426
(712) 293-4700
(712) 293-4800
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
513478
AK
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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