Taxonomy Code 322D00000X(322d00000x)
Emotionally Disturbed Childrens' Residential Treatment Facility. Providers: 15

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Emotionally Disturbed Childrens' Residential Treatment Facility Providers

NPI Name Type Address

1457528366

Boys And Girls Home Of Alaska

Organization

3101 Lathrop Street

Fairbanks, AK

1891079976

CDC 1 Montie Dale Ford

Individual

1825 Marika Rd

Fairbanks, AK

1871624536

Presbyterian Hospitality House

Organization

209 Forty Mile Ave

Fairbanks, AK

1710108535

Presbyterian Hospitality House

Organization

283 Bias Dr

Fairbanks, AK

1629299441

Presbyterian Hospitality House

Organization

3809 Mitchell Ave

Fairbanks, AK

1538380357

Presbyterian Hospitality House

Organization

1260 Nordin Dr

Fairbanks, AK

1457572299

Presbyterian Hospitality House

Organization

1260 Silverberry Dr

Fairbanks, AK

1275754012

Presbyterian Hospitality House

Organization

7609 Chena Hot Springs Rd

Fairbanks, AK

1134772700

MR. Robert Tully

Individual

3101 Lathrop St

Fairbanks, AK

1841844933

David Christensen

Individual

3101 Lathrop St

Fairbanks, AK

1205480290

Sharee Bartley

Individual

3101 Lathrop St

Fairbanks, AK

1427602358

Deborah Ann Kekoni

Individual

3101 Lathrop St

Fairbanks, AK

1295389120

Jared Michael Anderson

Individual

3101 Lathrop St

Fairbanks, AK

1609097476

Presbyterian Hospitality House

Organization

209 Forty Mile Ave

Suite #100

Fairbanks, AK

1962619643

Presbyterian Hospitality House

Organization

209 Forty Mile Ave Ste 100

Fairbanks, AK

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Taxonomy Code 322D00000X
Display Name Emotionally Disturbed Childrens' Residential Treatment Facility
Taxonomy Group Residential Treatment Facilities
Taxonomy Classification Residential Treatment Facility, Emotionally Disturbed Children
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.
Effective Date September 30, 2009
Modification Date September 30, 2009
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