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Organization

FAIRBANKS NATIVE ASSOCIATION

Active
Other names
Ralph Perdue Center
Organization subpart
No

Provider details

NPI number
Authorized official
PERRY AHSOGEAK (BEHAVIORAL HEALTH DIRECTOR)
(907) 452-6251
Entity
Organization

Contact information

Practice address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-6251
(907) 456-4849
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1696809
AK
Enumeration date
11/15/2019
Last updated
11/15/2019
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