| NPI | 1003367822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINY S SARGEANT Clinical Psychologist 907-723-9828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AK PSYP348) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |