Tanana Chiefs Conference

NPI #1467784140 in Fairbanks, Alaska

Provider Information

NPI Number: 1467784140
Entity Type: Organization
Organization Name: Tanana Chiefs Conference
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Feb 5, 2010
Last Updated: Feb 5, 2010

Practice Location

Address: 122 FIRST AVENUE 4TH FLOOR
City: Fairbanks
State: Alaska
ZIP Code: 99701
Phone: (907) 459-3800

Authorized Official

Name: EUGENE MCCARTY
Title: RESIDENTIAL CARE COORDINATOR
Phone: (907) 459-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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Tanana Chiefs Conference	Community Based Residential Treatment Facility, Mental Illness	Fairbanks	AI Deep Dive
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