| NPI | 1538389598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY A. JENKINS Executive Director 907-261-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-08-04 |