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Presbyterian Hospitality House
Emotionally Disturbed Childrens' Residential Treatment Facility in Wasilla, Alaska
NPI 1326396821

Presbyterian Hospitality House is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Fairbanks, AK. Presbyterian Hospitality House practices in Wasilla, AK. The NPI Number for Presbyterian Hospitality House is 1326396821 and holds a License No. 1639 (Alaska).

The current practice location address for Presbyterian Hospitality House is 2771 E Hiawatha Dr, Wasilla, AK and can be reached out via phone at 907-456-6445 and via fax at 907-456-6402.

Location: 2771 E Hiawatha Dr, Wasilla, AK, 99701-3110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326396821
Provider Name
Presbyterian Hospitality House
Credential
Provider Entity Type
Organization
Address
2771 E Hiawatha Dr, Wasilla, AK, 99701-3110
Phone Number
907-456-6445
Fax Number
907-456-6402
Provider Enumeration Date
08/15/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
MH2770 05 AK
institution
Provider Business Practice Location Address Details
Address
2771 E Hiawatha Dr
City
Wasilla
State
Alaska
Zip
99654-2853
Phone Number
907-456-6445
Fax Number
907-456-6402
person
Provider Business Mailing Address Details
Address
2771 E Hiawatha Dr
City
Wasilla
State
Alaska
Zip
99654-2853
Phone Number
907-456-6445
Fax Number
907-456-6402
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
1639 (Alaska)
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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