| NPI | 1336614205 |
|---|---|
| Doing Business As | EXTENDED FAMILY ALASKA LLC |
| Entity Type | Organization |
| Authorized Contact | DEON BURNS President 907-205-7427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |