NPI | 1043469349 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY ISAAC President 907-452-8251 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
Enumeration Date | 2008-09-11 |
Last Update Date | 2011-07-22 |