| NPI | 1518391622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN O'BRIEN Director Of Operations 907-378-6972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 006575) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |