| NPI | 1053188508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN LINDLEY Compliance Director 907-206-6055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-08-20 |