| NPI | 1154066090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PECK Owner 907-531-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2024-03-08 |