| NPI | 1548795677 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | LUZ SAPLA UMAYAM Owner 907-230-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |