institution
Presbyterian Hospitality House
Emotionally Disturbed Childrens' Residential Treatment Facility in Fairbanks, Alaska
NPI 1629299441

Presbyterian Hospitality House is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Fairbanks, AK. Presbyterian Hospitality House practices in Fairbanks, AK. The NPI Number for Presbyterian Hospitality House is 1629299441 and holds a License No. (Alaska).

The current practice location address for Presbyterian Hospitality House is 3809 Mitchell Ave, Fairbanks, AK and can be reached out via phone at 907-456-6445 and via fax at 907-456-6402. You can also correspond with Presbyterian Hospitality House through the mailing address at 209 FORTY MILE AVE, FAIRBANKS, AK - 99701-3110 (mailing address contact number: 907-456-6445).

Location: 3809 Mitchell Ave, Fairbanks, AK, 99701-3110
institution
Provider Profile Details
NPI Number
1629299441
Provider Name
Presbyterian Hospitality House
Credential
Provider Entity Type
Organization
Address
3809 Mitchell Ave, Fairbanks, AK, 99701-3110
Phone Number
907-456-6445
Fax Number
907-456-6402
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH2770 05 AK
institution
Provider Business Practice Location Address Details
Address
3809 Mitchell Ave
City
State
Zip
99709-4638
Phone Number
907-456-6445
Fax Number
907-456-6402
person
Provider Business Mailing Address Details
Address
209 Forty Mile Ave
City
State
Zip
99701-3110
Phone Number
907-456-6445
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
(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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