| NPI | 1477743755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM L. WOLF Finance Manager 907-656-2489 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QR1100X Clinic/Center, Research | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 363LF0000X Nurse Practitioner, Family | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2008-11-10 |