NPI | 1467775676 |
---|---|
Other Name | WISDOM TRADITIONS COUNSELING SERVICES, LLC |
Doing Business As | ALASKA WISDOM RECOVERY |
Entity Type | Organization |
Authorized Contact | KIMBERLY A. HAMILTON Practice Manager 941-697-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2010-03-03 |
Last Update Date | 2019-08-26 |