| NPI | 1083337463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MCCAFFERTY Managing Member 907-229-8320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2023-01-27 |