| NPI | 1336771781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN ART LARNA Chief Financial Officer & Chief Ope 907-220-7299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |