| NPI | 1144757089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN ELIZABETH PHILLIPS Owner 907-244-9197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 1008) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2022-07-21 |