| NPI | 1265854186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ALAN DOBBS Administrator 907-699-8581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AK 101034) |
| Enumeration Date | 2014-01-12 |
| Last Update Date | 2014-01-12 |