| NPI | 1407609951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH DIMAANO Managing Partner 907-744-6981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |