| Extended Family Alaska Llc | |
|
978 Pickering Dr Fairbanks AK 99709-5770 | |
| (907) 205-7427 | |
| Not Available |
| Full Name | Extended Family Alaska Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 978 Pickering Dr, Fairbanks, Alaska |
| Authorized Official Name and Position | Deon Burns (PRESIDENT) |
| Authorized Official Contact | 9072057427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extended Family Alaska Llc 12725 Landmark St # A Anchorage AK 99515-3818 Ph: (907) 205-7427 | Extended Family Alaska Llc 978 Pickering Dr Fairbanks AK 99709-5770 Ph: (907) 205-7427 |
| NPI Number | 1336614205 |
|---|---|
| Provider Enumeration Date | 10/08/2018 |
| Last Update Date | 10/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336614205 | NPI | - | NPPES |
| 101264 | Other | AK | ASSISTED LIVING HOME LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Fbx Fairbanks Behavior Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3245 Craft Ave, Fairbanks, AK 99709 Phone: 907-378-3434 Fax: 907-374-0820 | |
Pacific Rim Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Barnette St Ste 102, Fairbanks, AK 99701 Phone: 907-452-5252 Fax: 907-452-6233 | |
Fairbanks Somatic Therapy And Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Cushman St Ste 4e, Fairbanks, AK 99701 Phone: 907-371-5359 | |
Fairbanks Community Behavioral Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575 Fax: 907-455-5287 | |
Making A Difference Support Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1867 Airport Way Ste 200, Fairbanks, AK 99701 Phone: 907-750-7169 Fax: 907-490-4469 | |
Fcmhs Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575 Fax: 907-455-5287 | |
Rachel A Kacsur Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 2nd Ave, Suite 207b, Fairbanks, AK 99701 Phone: 907-455-0250 Fax: 907-455-0250 |