| NPI | 1285055731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BAISI Physician Owner 907-770-9606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AK 10017537) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |