Organization
FAMILY CENTERED SERVICES OF AK
Active
Other names
Community Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON J BENJAMIN (FINANCE OFFICER)
(907) 474-0890
Entity
Organization
Contact information
Practice address
1825 MARIKA RD, FAIRBANKS, AK 99709-5521
(907) 474-0890
(907) 474-3621
Mailing address
1825 MARIKA RD, FAIRBANKS, AK 99709-5521
(907) 474-0890
(907) 474-3621
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DY3237
—
AK
05
—
MH3237
—
AK
Enumeration date
01/22/2007
Last updated
10/29/2010
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