| NPI | 1518195080 |
|---|---|
| Other Name | LEAP A/V PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LISA HAY Executive Director 907-452-2473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 921) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |