Provider Demographics
NPI:1255545299
Name:SAFE AND FEARFREE ENVIRONMENT
Entity type:Organization
Organization Name:SAFE AND FEARFREE ENVIRONMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-842-2320
Mailing Address - Street 1:21 G. ST. WEST
Mailing Address - Street 2:
Mailing Address - City:DILLINGHAM
Mailing Address - State:AK
Mailing Address - Zip Code:99576-0094
Mailing Address - Country:US
Mailing Address - Phone:907-842-2320
Mailing Address - Fax:
Practice Address - Street 1:21 G. ST. WEST
Practice Address - Street 2:BOX 94
Practice Address - City:DILLINGHAM
Practice Address - State:AK
Practice Address - Zip Code:99576-0094
Practice Address - Country:US
Practice Address - Phone:907-842-2320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children