| NPI | 1295170348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY LUCILLE GREEN Executive Director 907-780-6775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 914750) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |