| NPI | 1518795160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN ROSE KRAUS Cro 907-313-4566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X Community/Behavioral Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |