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 |