| NPI | 1598264715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA L SOMMERVILLE Administrator/Owner 907-841-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AK 100183) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |