| NPI | 1295235471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BREWINGTON President 907-884-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: AK 2456) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |