| NPI | 1053960773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY KING Behavioral Health Office Manager 907-780-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2025-07-07 |