| 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 |