| NPI | 1376075697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROLAND MACK Psychiatrist Owner 907-342-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AK MEDS 7369) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-04-05 |