| NPI | 1205164332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ATORUK Counselor Trainee 907-475-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |