| NPI | 1114117272 |
|---|---|
| Doing Business As | BEHAVIORAL MEDICINE OF ALASKA |
| Entity Type | Organization |
| Authorized Contact | JOSEPH E BEATY Billing Agent 907-770-2301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AK 4662) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2008-02-14 |