| Boys And Girls Home Of Alaska | |
|
3101 Lathrop St Fairbanks AK 99701-7426 | |
| (712) 293-4700 | |
| (712) 293-4800 |
| Full Name | Boys And Girls Home Of Alaska |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 3101 Lathrop St, Fairbanks, Alaska |
| Authorized Official Name and Position | Richard C Brown (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7122934700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boys And Girls Home Of Alaska 3101 Lathrop St Fairbanks AK 99701-7426 Ph: (712) 293-4700 | Boys And Girls Home Of Alaska 3101 Lathrop St Fairbanks AK 99701-7426 Ph: (712) 293-4700 |
| NPI Number | 1225338189 |
|---|---|
| Provider Enumeration Date | 10/26/2010 |
| Last Update Date | 10/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225338189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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