| NPI | 1063137073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELKINS Partner 907-416-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2024-06-01 |