| NPI | 1407224793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA M JOHNSON Owner/Administrator 907-252-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AK 1018485) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |