| NPI | 1578132429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH JOHNSON Counselor/Owner 907-931-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2024-01-15 |