Branching Out Supported Services LLC
NPI 1942785464 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fairbanks, AK
Branching Out Supported Services LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Fairbanks, AK (NPI 1942785464).
Provider details
- NPI number
- 1942785464
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Glenn Wrightsman, Executive Director(907) 987-9267
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-01
- Last updated
- 2022-11-22
- Certified
- 2022-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.