NPI | 1316497340 |
---|---|
Entity Type | Organization |
Authorized Contact | TASHIA AMSTISLAVSKI Owner 907-331-3163 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 1043095) |
Enumeration Date | 2016-10-14 |
Last Update Date | 2022-07-21 |