| NPI | 1568912137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIANNA BUHLER CFO 907-874-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |