| NPI | 1386117729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORDLES WALKER RODRIGUEZ Deputy Director 907-992-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 261QR0800X Clinic/Center Recovery Care | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-02-27 |