| Family Centered Services Of Alaska | |
|
3101 Lathrop St Fairbanks AK 99701-7426 | |
| (907) 474-0890 | |
| Not Available |
| Full Name | Family Centered Services Of Alaska |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 3101 Lathrop St, Fairbanks, Alaska |
| Authorized Official Name and Position | Allison J Benjamin (CFO) |
| Authorized Official Contact | 9074740890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Centered Services Of Alaska 1825 Marika Rd Fairbanks AK 99709-5521 Ph: () - | Family Centered Services Of Alaska 3101 Lathrop St Fairbanks AK 99701-7426 Ph: (907) 474-0890 |
| NPI Number | 1588255632 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 02/01/2021 |
| Certification Date | 02/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588255632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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