| NPI | 1164727954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE HOLLAND-KLEIN Owner 907-388-4689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4684) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |