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, Intellectual and/or Developmental Disabilities, Child | |
Enumeration Date | 2007-07-02 |
Last Update Date | 2020-08-22 |