| NPI | 1508269580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI J SULLIVAN Owner 907-726-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 35531) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 31) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-11-17 |