| NPI | 1386199339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP TAFS Owner 907-268-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 1039082) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2026-09-11 |