| NPI | 1225235245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SUSAN BROWN Executive Director 907-398-9795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 305R00000X Preferred Provider Organization | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |