NPI | 1073701033 |
---|---|
Entity Type | Organization |
Authorized Contact | DESIRE SHEPLER President/CEO 907-746-6231 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2007-10-04 |
Last Update Date | 2024-11-05 |