| NPI | 1134376478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNETTE L WEINBERGER Owner/Manager 907-726-0426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 136) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2024-02-01 |