| NPI | 1508121096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA TERESE MINER-COLLINS Member 907-745-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AK 77) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AK 86) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 241) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |