| NPI | 1467679936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE R PELTOLA President & CEO 907-543-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2013-07-31 |