Montie Dale Ford, CDC 1 is a residential treatment facility emotionally disturbed children in Fairbanks, 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. Montie Dale Ford, CDC 1 NPI is 1891079976. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1825 MARIKA RD
FAIRBANKS, AK
ZIP 99709-521
Phone: (907) 474-0890
Fax: (907) 474-3621
The enumeration date for this NPI number is 10/6/2011 and was last updated on 10/6/2011.