NPI | 1255079638 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES JOHNSON Quality Assurance Coordinator 907-220-6117 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-05-25 |
Last Update Date | 2022-05-25 |