| NPI | 1306481437 |
|---|---|
| Other Name | OLD MINTO RECOVERY CAMP |
| Entity Type | Organization |
| Authorized Contact | JACOLINE BERGSTROM Ex. Director Of H.S. 907-452-8251 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |