| NPI | 1063797371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY GENE OHS President 907-745-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AK LCSW 562) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-21 |