| NPI | 1023147949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMMY RAY JAMES Executive Director 907-835-3274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251V00000X Voluntary or Charitable | |
| 385H00000X Respite Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2015-05-12 |