| NPI | 1114454808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL HODGES Owner 907-357-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK MEDS6369) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2024-03-19 |