| NPI | 1326207606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNA L. BREWSTER Owner 907-723-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 915549) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2011-01-19 |