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 |