| NPI | 1497251789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHEL LYN BELISLE President 907-444-3027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing (Licence: AK 105776) |
| Additional Taxonomies | 176B00000X Midwife (Licence: AK 105776) |
| 261QB0400X Clinic/Center, Birthing (Licence: AK 126457) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-03-14 |