| NPI | 1649967365 |
|---|---|
| Doing Business As | FAIRBANKS CENTER FOR COUPLE AND FAMILY THERAPY |
| Entity Type | Organization |
| Authorized Contact | REGINA L DAVIS CEO 907-687-1637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |