| NPI | 1578109120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN JETT Director Of Operations, Owner 907-677-7709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2022-05-17 |