| NPI | 1174220669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS JAMES "LJ" ABELLA Owner/Administrator 907-764-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-28 |