| NPI | 1134173172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY A. JENKINS Executive Director 907-261-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-08-04 |