| NPI | 1518435734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDEE MURRAY Revenue Manager 907-433-4745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |