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 |