NPI | 1588333678 |
---|---|
Doing Business As | BH 115- CHILD & FAMILY OUTPATIENT SERVICES (EAST) |
Entity Type | Organization |
Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4939 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2021-09-10 |
Last Update Date | 2023-10-13 |