| NPI | 1306468590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE FOSTER MITCHELL Secretary 907-821-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-07-14 |