| NPI | 1295329803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY M THOMAS Chief Operations Officer 907-374-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2024-10-07 |