| NPI | 1013503861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA C DULINSKI Risk Assessment Management Director 907-331-8598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103K00000X Behavior Analyst | |
| 103TF0000X Psychologist Family | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2020-12-16 |