| NPI | 1114571635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PETERS Medical Director 907-802-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2024-03-01 |