| NPI | 1316247091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE M MCCUMBY Director 907-452-1735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 945485) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |