| NPI | 1548019128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT GARDNER Licensed Addiction Counselor 907-687-8026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |