| NPI | 1124350483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL RODRIGUEZ Owner 907-770-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 933541) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-10 |