| NPI | 1336881259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BROWN Sr. Dir. Of Medicaid Operations 907-891-6954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-04-11 |