| NPI | 1366706061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN ELLEN HEIKENS Care Coordinator 907-835-4326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AK 958238) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |