| NPI | 1487770491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EDWARDS VP Of Finance 907-463-4061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 70206) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |