NPI | 1184963225 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE DENNISE RAMOS Administrator 907-310-6434 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AK 100909) |
Enumeration Date | 2013-02-09 |
Last Update Date | 2013-02-09 |