| NPI | 1376398180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN RENE BLACKBURN Executive Director 907-456-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 174200000X Meals | |
| 175T00000X Peer Specialist | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 261Q00000X Clinic/Center | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2025-03-26 |