| NPI | 1578732590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN LANE President 907-561-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 387 PSYCHOLOGIST) |
| Enumeration Date | 2008-02-23 |
| Last Update Date | 2008-02-23 |