| NPI | 1124315080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI RAE CELLERS Vice President/Secretary 907-244-8427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: AK 950597) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AK 950597) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |