Boys and Girls Home of Alaska

NPI #1457528366 in Fairbanks, Alaska

Provider Information

NPI Number: 1457528366
Entity Type: Organization
Organization Name: Boys and Girls Home of Alaska
Subpart: Yes (part of a larger organization)
Parent Organization: BOYS AND GIRLS HOME AND FAMILY SERVICES INC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: May 9, 2008
Last Updated: May 9, 2008

Practice Location

Address: 3101 LATHROP STREET
City: Fairbanks
State: Alaska
ZIP Code: 99707-0870
Phone: (907) 479-0560

Authorized Official

Name: MR. ROBERT P SHEEHAN, MSW
Title: ADMINISTRATOR
Phone: (907) 479-0560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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