| NPI | 1265036990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A HORN-ROLLINS Owner 907-318-9197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2021-02-19 |