NPI | 1316732498 |
---|---|
Doing Business As | SKY RIDGE |
Entity Type | Organization |
Authorized Contact | JAMES TERRENCE DRAYTON Chief Executive Officer 907-317-9628 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2025-04-10 |
Last Update Date | 2025-04-10 |