| NPI | 1497080949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CLAMPITT Owner 907-376-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: AK 617) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |