| NPI | 1164191698 |
|---|---|
| Doing Business As | MITKOF BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | KARA B WESEBAUM Owner 907-650-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2022-05-05 |