| NPI | 1376175075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA SUE CARDINAL Chief Operating Officer/Partner 907-500-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-09-11 |