| NPI | 1578101556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMILA GILLIAM Owner 907-302-8366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor Professional | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TC1900X Psychologist Counseling | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 1041S0200X Social Worker School | |
| 106H00000X Marriage & Family Therapist | |
| 163WC0400X Registered Nurse Case Management | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |