| NPI | 1114050911 |
|---|---|
| Other Name | JAKE'S PLACE |
| Entity Type | Organization |
| Authorized Contact | ROBERT J CLARK Chief Executive Officer 907-842-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2013-04-04 |