| NPI | 1548443609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA DE LEON Care Coordinator 907-563-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AK 436948) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |