| NPI | 1336694223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY BATES Owner 907-868-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AK 100927) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |