| NPI | 1215266986 |
|---|---|
| Other Name | ANGELO OCAMPO |
| Entity Type | Organization |
| Authorized Contact | ANGELO MEDINA OCAMPO Administrator 907-230-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AK 931680) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |