| NPI | 1184911851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JETT Director Of Operations, Owner 907-677-7709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 954236) |
| 251S00000X (Licence: AK 954236) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: AK 954236) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2022-05-17 |