| NPI | 1578977583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA ELAINE WENDT Licensed Clinical Psychologist 907-488-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 610) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |