| NPI | 1467991455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY WEST Executive Director 907-733-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: AK 77895) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |