| NPI | 1033308002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOOKER T EVANS Owner 907-455-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 4433) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |