| NPI | 1174231518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELI MICHAEL Owner 907-268-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2023-11-13 |