| NPI | 1073701033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONN BENNICE President/CEO 907-746-6231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2013-08-09 |