| NPI | 1356850291 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | LUSEANE TAU President 907-342-5841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2022-07-21 |