| NPI | 1356772024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG AMBROSIANI Executive Director 907-224-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2020-02-21 |