Organization
FAIRBANKS COMMUNITY BEHAVIORAL HEALTH CENTER
Active
Organization
FAIRBANKS COMMUNITY BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL ATCHISON (EXECUTIVE DIRECTOR)
(907) 452-1575
Entity
Organization
Contact information
Practice address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 452-1575
Mailing address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 452-1575
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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