| NPI | 1437288115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZAN MARIE FITZGERALD Care Coordinator 907-523-3019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AK CM 549) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |