| NPI | 1346661030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLIE IRENE HICKOK Administrator 907-274-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2013-12-23 |