| NPI | 1407442650 |
|---|---|
| Other Name | SELF |
| Entity Type | Organization |
| Authorized Contact | SARA LINDSOE Dr. Sara Lindsoe/Owner 907-980-5981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |