| NPI | 1548049422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKSON RAKOY KITSUNE Owner/Deputy Administrator 907-717-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-10-03 |