| NPI | 1538830237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA K ELSIK Business Manager 907-677-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2022-03-18 |