NPI | 1447640560 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD CORRAL Administrator 907-903-9552 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AK 100943) |
Enumeration Date | 2015-01-27 |
Last Update Date | 2015-01-27 |