| NPI | 1407189764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY DIMEGLIO Owner 907-644-3968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 928) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-10-01 |