| NPI | 1063071660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK COATES PENNINGTON Executive Director 907-373-3631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |