| NPI | 1295591568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE ANGELIE ONG Owner 907-891-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |