Organization
FAIRBANKS NATIVE ASSOCIATION
Active
Other names
Graf Rheeneerhaanjii
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY ASHOGEAK (BEHAVIORAL HEALTH DIRECTOR)
(907) 452-6251
Entity
Organization
Contact information
Practice address
2550 LAWLOR RD, FAIRBANKS, AK 99709-6458
(907) 455-4725
(907) 455-4730
Mailing address
315 WENDELL AVE, FAIRBANKS, AK 99701-4837
(907) 452-6251
(907) 452-1001
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
76821
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1696801
—
AK
Enumeration date
04/10/2008
Last updated
11/08/2019
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