| NPI | 1265174502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELKINS CEO 907-331-0576 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103G00000X Clinical Neuropsychologist | |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2025-08-21 |