| NPI | 1477797108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D ROBERTSON Owner/Physician 907-929-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 926896) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |