OrganizationActive
Family Centered Services of Alaska
NPI 1780274589 · Child & Adolescent Psychiatry Physician · Wasilla, AK
Provider details
- NPI number
- 1780274589
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Allison Benjamin, Cfo(907) 474-0890
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
301 E Danna Ave
Wasilla, AK 99654-6422
Phone: (907) 474-0890
Approximate (ZIP-level) locationGet directions
Mailing address
1825 Marika Rd
Fairbanks, AK 99709-5521
Registry dates
- Enumerated
- 2021-01-25
- Last updated
- 2021-01-25
- Certified
- 2021-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.