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 |