| NPI | 1578124095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY DONOVAN CEO 907-565-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2025-01-23 |