| 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 |