| NPI | 1295753895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY LONGVAL Executive Director 907-243-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AK 297960) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2009-01-09 |