ALASKA FAMILY SERVICES INC. NPI 1073701033

NPI Information

ALASKA FAMILY SERVICES INC. is a residential treatment facility emotionally disturbed children in Palmer, AK. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. ALASKA FAMILY SERVICES INC. NPI is 1073701033. The provider is registered as an organization entity type.

The provider's business location address is:

1825 S CHUGACH STREET
PALMER, AK
ZIP 99645
Phone: (907) 746-4080
Fax: (907) 746-1177

The provider's authorized official is Donn Bennice .
The authorized official title is President/ceo and has the following contact phone number (907) 746-6231.

The CLIA number assigned to this NPI record is 02D0724072 - other - wic program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 8/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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