| NPI | 1386844355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILUMINADA PUNO FLORES Administrator 907-339-9328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AK 100593) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2008-07-03 |