| NPI | 1326930207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE HENSLEE Administrator 907-330-9442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |