| NPI | 1003469719 |
|---|---|
| Doing Business As | SUD/BH 1115- VNPCC |
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON Executive Vice President Of Finance 907-729-4939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2023-08-30 |