| NPI | 1477088219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLEEN GRACE DELAROSA DOMINGUEZ Owner/Administrator 907-301-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AK HCX) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |