| NPI | 1205509700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILOU G PUGEDA Owner/Administrator 907-331-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |