| NPI | 1285778795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL M HENDERSON Executive Director 907-357-1629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 475) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 122) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |