| NPI | 1013296755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELWIN DAVID HJELLEN Owner 907-222-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AK 6621) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2020-10-06 |