| NPI | 1518346840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMITO JO OWEN Director 907-782-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 926414) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |