| NPI | 1346791746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY DONOVAN CEO 907-433-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 274070) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2019-12-16 |