| NPI | 1497060578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA FA'AGASE FILI Clinical Associate 907-720-1509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |