| NPI | 1043504608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO M MANITI Administrator 907-229-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AK 100872) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |