| NPI | 1548613243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KERST Owner 907-631-2807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 112983) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |