| NPI | 1073978300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BRINSON Owner 907-315-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AK 101124) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |