| NPI | 1447684634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS G CARPENTER Clinical Director / Psychologist 907-570-6382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AK 988057) |
| Enumeration Date | 2013-08-24 |
| Last Update Date | 2019-11-15 |