| NPI | 1083820153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE KIM CHESSER-WITMER Owner 907-374-7738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AK 742338) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |