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ALASKA FAMILY SERVICES INC.
>> Residential Treatment Facility, Emotionally Disturbed Children >> Residential Treatment FacilitiesRegistrant NPI Number: 1073701033
Organizational Registrant:Organization Name: ALASKA FAMILY SERVICES INC.
Organization is not Subpart
Authorized Official: DONN BENNICE PRESIDENT/CEO 907--74-66231
Organization is not Subpart
Authorized Official: DONN BENNICE PRESIDENT/CEO 907--74-66231
Location and contact information for practice:
1825 S CHUGACH STREET PALMER, AK 99645 US
Tel: 907-746-4080 Fax: 907-746-1177
Tel: 907-746-4080 Fax: 907-746-1177
Contact information for business:
1825 S CHUGACH STREET PALMER, AK 99645 US
Tel: 907-746-4080 Fax: 907-746-1177
Tel: 907-746-4080 Fax: 907-746-1177
Registration Information:
NPI: 1073701033
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facilities Residential Treatment Facility, Emotionally Disturbed Children |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MH6030 | AK | 05 |
