| NPI | 1538879317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA WOODS Senior Director 907-463-7302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |