Montie Dale Ford, CDC1
Montie Dale Ford, CDC1 is an Emotionally Disturbed Childrens' Residential Treatment Facility in Fairbanks, Alaska. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
1825 Marika RdFairbanks, AK 99709-5521
Phone: (907) 474-0890
Fax: (907) 474-3621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|
Record details
| NPI number | 1891079976 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CDC1 |
| Sole proprietor | Yes |
| NPI enumerated | October 6, 2011 |
| Last updated in NPPES | October 6, 2011 |
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