| NPI | 1053613448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET LEE CHANCE President 907-357-4156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities (Licence: AK 127961) |
| Additional Taxonomies | 385HR2055X Respite Care Respite Care, Mental Illness, Child (Licence: AK 127961) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |