| NPI | 1508481144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE MRZENA Psychiatric Nurse Practitioner 907-203-1590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-10-17 |