| NPI | 1144274986 |
|---|---|
| Doing Business As | BSD- QUYANA CLUBHOUSE |
| Doing Business As | QUYANA CLUB HOUSE MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: AK 20467) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-08-31 |