OrganizationActive
Boys and Girls Home of Alaska
NPI 1225338189 · Child & Adolescent Psychiatry Physician · Fairbanks, AK
Provider details
- NPI number
- 1225338189
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Boys and Girls Home and Family Services
- Organization subpart
- Yes
- Authorized official
- Richard Brown, Medical Director(712) 293-4700
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3101 Lathrop St
Fairbanks, AK 99701-7426
Phone: (712) 293-4700
Fax: (712) 293-4800
Approximate (ZIP-level) locationGet directions
Mailing address
3101 Lathrop St
Fairbanks, AK 99701-7426
Registry dates
- Enumerated
- 2010-10-26
- Last updated
- 2010-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.