Organization
TANANA CHIEFS CONFERENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE MCCARTY (RESIDENTIAL CARE COORDINATOR)
(907) 459-3800
Entity
Organization
Contact information
Practice address
122 FIRST AVENUE 4TH FLOOR, FAIRBANKS, AK 99701
(907) 459-3800
(907) 459-3810
Mailing address
122 1ST AVE STE 4, FAIRBANKS, AK 99701-4871
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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