| NPI | 1124064894 |
|---|---|
| Doing Business As | BSD-ANPCC BURT |
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AK 20467) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 20467) |
| 101YM0800X Counselor, Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-08-31 |