| NPI | 1255653168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA YVONNE MEISSNER Owner 907-677-1814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 856) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 366) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |