| NPI | 1366742611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN DOBBS Administrator 907-720-7521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AK 100879) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |