NPI | 1114786050 |
---|---|
Doing Business As | JOEY'S PLACE LLC |
Entity Type | Organization |
Authorized Contact | KARL THOMAS PFEIFFER Director 907-229-2402 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2024-03-14 |
Last Update Date | 2024-03-14 |