| NPI | 1184263741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE ALLEN COO 907-885-6288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TF0000X Psychologist, Family | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |