NPI | 1174792972 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY NOVAK Executive Director 907-283-3658 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: AK 261QR0405X) |
Enumeration Date | 2008-02-26 |
Last Update Date | 2008-02-26 |