| NPI | 1225218480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS SCOTT ANDERSON Care Coordinator 907-564-6837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AK applied for) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |