MONTIE FORD, CDC 1

Residential Treatment Facility, Emotionally Disturbed Children

Active Individual
NPI: 1891079976

Practice Address

1825 MARIKA RD
Fairbanks, AK 99709

Phone: (907) 474-0890

Specialties

Specialty Code Primary License
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Yes -

Frequently Asked Questions

NPI 1891079976 is the National Provider Identifier for MONTIE FORD, CDC 1, a Residential Treatment Facility, Emotionally Disturbed Children provider located in Fairbanks, AK. This NPI was enumerated on October 6, 2011.
MONTIE FORD, CDC 1 practices at 1825 MARIKA RD, Fairbanks, AK 99709.

Quick Facts

NPI
1891079976
Type
Individual
Enumerated
Oct 6, 2011
Last Updated
Oct 6, 2011

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