| Fairbanks Community Behavioral Health Center | |
|
3830 S Cushman St Fairbanks AK 99701-7530 | |
| (907) 452-1575 | |
| (907) 455-5287 |
| Full Name | Fairbanks Community Behavioral Health Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3830 S Cushman St, Fairbanks, Alaska |
| Authorized Official Name and Position | Patricia Joan Weaver (ADULT THERAPIST) |
| Authorized Official Contact | 9074555214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbanks Community Behavioral Health Center 3830 S Cushman St Fairbanks AK 99701-7530 Ph: (907) 452-1575 | Fairbanks Community Behavioral Health Center 3830 S Cushman St Fairbanks AK 99701-7530 Ph: (907) 452-1575 |
| NPI Number | 1013156140 |
|---|---|
| Provider Enumeration Date | 02/12/2009 |
| Last Update Date | 02/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013156140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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