| NPI | 1376783274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA K DOUGLAS Administrator 907-865-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AK 922957) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-03-05 |