| NPI | 1053922146 |
|---|---|
| Other Name | VITA NOVA |
| Entity Type | Organization |
| Authorized Contact | KARL SODERSTROM CEO 907-313-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2024-03-05 |