| NPI | 1588834154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE PICKRELL Director Of Behavioral Health 907-228-4917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 1300) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OH C.0501146) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2010-05-03 |