| NPI | 1043675648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE ONORATO Provider/Owner 907-455-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AK 3567) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |