BOYS AND GIRLS HOME OF ALASKA
Residential Treatment Facilities at Lathrop St, Fairbanks, AK

License number
Alaska 513478
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Illness
Owner
Name: DR. RICHARD C BROWN JR. M.D.
Title: MEDICAL DIRECTOR
Phone: (712) 293-4700
Address
Address
3101 Lathrop St, Fairbanks, AK 99701
National Provider ID: 1255631446
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Boys and Girls Home of Alaska, Inc

Fairbanks, AK

Industry:
Social Services
Registration:
Nov 29, 2006
Addresses:
711 Gaffney Rd STE 202, Fairbanks, AK 99701 (Mailing)
3101 Lathrop St, Fairbanks, AK 99701 (Physical)
State ID:
104388
Business type:
Nonprofit Corporation
Expiration:
Perpetual
Medical Doctors:
Art Silva (President),Denise Wartes (Director),Leonie Deramus, M.d (Director),...
Agent:
John Foster Wallace,711 Gaffney Rd STE 202, Fairbanks, AK 99701 (Mailing)

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