person
Jared Michael Anderson
Emotionally Disturbed Childrens' Residential Treatment Facility in Fairbanks, Alaska
NPI 1295389120

Jared Michael Anderson is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Fairbanks, AK. Jared Michael Anderson practices in Fairbanks, AK. The NPI Number for Jared Michael Anderson is 1295389120 and holds a License No. (Alaska).

The current practice location address for Jared Michael Anderson is 3101 Lathrop St, Fairbanks, AK and can be reached out via phone at 907-459-4700. You can also correspond with Jared Michael Anderson through the mailing address at 2252 ARLENE DR, FAIRBANKS, AK - 99705-7560 (mailing address contact number: ).

Location: 3101 Lathrop St, Fairbanks, AK, 99705-7560
person
Provider Profile Details
NPI Number
1295389120
Provider Name
Jared Michael Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
3101 Lathrop St, Fairbanks, AK, 99705-7560
Phone Number
907-459-4700
Fax Number
Provider Enumeration Date
07/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3101 Lathrop St
City
State
Zip
99701-7426
Phone Number
907-459-4700
Fax Number
person
Provider Business Mailing Address Details
Address
2252 Arlene Dr
City
State
Zip
99705-7560
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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