| NPI | 1598576209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY CHASTAIN Psychiatric Nurse Practitioner 907-621-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |