NPI | 1003352998 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA WELLER Licensed Professional Counselor 907-317-7136 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AK 0012422) |
Enumeration Date | 2017-01-16 |
Last Update Date | 2017-01-16 |