| NPI | 1447144563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANN CARHART Medical Integration Manager 907-215-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |