NPI | 1144999145 |
---|---|
Doing Business As | BH 1115-ADULT OUTPATIENT SERVICES (100) AOS |
Doing Business As | BH 1115- ADULT OUTPATIENT SERVICES (200) AOS |
Entity Type | Organization |
Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4939 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2021-09-13 |
Last Update Date | 2023-08-31 |