Branching Out Supported Services LLC
NPI #1942785464 in Fairbanks, Alaska
Provider Information
- NPI Number
- 1942785464
- Entity Type
- Organization
- Organization Name
- Branching Out Supported Services LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 1, 2018
- Last Updated
- Nov 22, 2022
Practice Location
Authorized Official
- Name
- MRS. GLENN WRIGHTSMAN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (907) 987-9267
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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