| NPI | 1316378722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN NUSBAUM Director 907-394-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AK 1290) |
| Additional Taxonomies | 251B00000X Case Management (Licence: AK 1290) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |