| NPI | 1124341896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE PATTON General Manager 907-228-4941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AK 11131) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |