| NPI | 1407907629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PETTIT CEO 907-761-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: AK 283892) |
| Additional Taxonomies | 251B00000X Case Management (Licence: AK 261860) |
| 251V00000X Voluntary or Charitable (Licence: AK 261859) | |
| 261Q00000X Clinic/Center (Licence: AK 261859) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: AK 261861) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2024-12-12 |