| NPI | 1225769870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER IGWACHO Managing Member 907-350-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 101YP1600X Counselor Pastoral | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |