| NPI | 1336178847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY READ Svthw Director 907-226-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-12-23 |