| NPI | 1134308653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA SUE HAMILTON Executive Director 907-260-7423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 366) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |