| NPI | 1033725684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILLIAN WRIGHT Billing Manager 907-671-6871 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2021-11-23 |