| NPI | 1366069601 |
|---|---|
| Doing Business As | 1115 WAIVER MULDOON |
| Other Name | MULDOON OFFICE |
| Entity Type | Organization |
| Authorized Contact | DANIEL BIGLEY Chief Executive Officer 907-274-8281 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2023-03-23 |