| NPI | 1295176956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BEATY CEO 907-770-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: AK 935267) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |