| NPI | 1457756769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN NUSBAUM Operations Manager 907-394-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AK 1290) |
| Additional Taxonomies | 251B00000X Case Management (Licence: AK CMX) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |