NPI | 1558635144 |
---|---|
Entity Type | Organization |
Authorized Contact | GWEN LEE Executive Director 907-277-6677 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 545) |
Enumeration Date | 2012-02-29 |
Last Update Date | 2012-02-29 |