| NPI | 1124350624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE SOMMER Residential Care Coordinator 907-459-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |