| NPI | 1144035908 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JESSICA CABRERA Administrative Director 907-222-4851  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Enumeration Date | 2025-02-10 | 
| Last Update Date | 2025-02-11 |