| NPI | 1134329212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAIDE TEMITOPE WOLFE Program Administrator 907-929-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AK 737091) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |