| NPI | 1447414297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE MCGINLEY-WEST Psychotherapist 907-738-0649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO 20121326047) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 910393) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2012-07-02 |