| NPI | 1235347527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J ARRUDA System Administrator 907-565-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 274070) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 171M00000X Case Manager/Care Coordinator | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2026-01-29 |