| NPI | 1356792071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA WELLS CHRISTINE Administrator/Owner 907-952-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 100780) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |