| NPI | 1073668331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY CHASTAIN President 907-274-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AK 778) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 778) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |