| NPI | 1134588528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY M THOMAS Chief Operations Officer 907-374-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2024-10-07 |