| NPI | 1306215587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY LEWIS Managing Member 907-457-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 1025780) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2016-03-04 |