| NPI | 1144457441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON BLUE Executive Director 907-747-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AK 3285) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |