NPI | 1174734503 |
---|---|
Doing Business As | TRIBAL- FIREWEED |
Entity Type | Organization |
Authorized Contact | RONALD L. OLSON Executive VP Finance 907-729-4939 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2025-06-06 |