| NPI | 1447145735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN ROSE KRAUS Cro 907-313-4566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |