| NPI | 1144100603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA TAPIA Owner/Administrator 907-229-3476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |