| NPI | 1366987000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LIZA NARANJO CADAVOS Owner/Designee 907-350-0978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AK 1039375) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |