| NPI | 1396143400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GORDON WEKENMAN Licensed Professional Counselor 907-465-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: AK 799) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |