| NPI | 1073766317 |
|---|---|
| Other Name | KIC SOCIAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | DEBBIE PATTON General Manager 907-228-4926 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |