| NPI | 1124147905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELANE M KELLY Divisional Finance Director 907-339-3406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AK 11806) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-08-28 |