| NPI | 1437947389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON CHRISTOPHER FONG Owner/ Sole Proprietor 907-500-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-10-03 |