| NPI | 1013079755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRI PHILEMONOF President/CEO 907-276-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2014-01-23 |