| NPI | 1144079286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN JOHNSON Administrator 907-529-9125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |