| NPI | 1023832045 |
|---|---|
| Doing Business As | MY HOUSE |
| Entity Type | Organization |
| Authorized Contact | REBECCA ANN LING Program Director 907-373-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |