| NPI | 1568151983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WANNER Chief Financial Officer 907-796-8402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology Addiction Psychiatry |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-11-21 |