| NPI | 1336932714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MORA Rcm Director 907-830-8122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-05-27 |