| NPI | 1538230701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER A COURTNAGE Owner 907-243-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AK 401) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AK 003) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |