| NPI | 1568671766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKKI KING BARKER Owner President 907-455-4135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 3921) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AK 3921) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: AK 3921) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-08-08 |