| NPI | 1477869386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SCOTT MCCALEB Owner/Clinical Social Worker 907-244-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AK 1000) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |