| NPI | 1376030288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LYNN BALLARD CEO 907-297-9639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AK 1069542) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2022-10-03 |