| NPI | 1265656730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELANE M KELLY Divisional Finance Director 907-339-3406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AK 11806) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |