| NPI | 1356772024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILIAN CHAPMAN Executive Director 907-224-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2024-12-03 |