NPI | 1003469792 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA BUCKINGHAM Licensed Psychologist 907-744-1882 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-07-22 |
Last Update Date | 2019-07-22 |