| NPI | 1467677880 |
|---|---|
| Doing Business As | DESIREE ORTEGA |
| Entity Type | Organization |
| Authorized Contact | DESIREE ORTEGA Program Administrator 907-357-8028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AK CMG149) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |