| NPI | 1598814998 |
|---|---|
| Doing Business As | HEAD START NORTHWAY MALL |
| Entity Type | Organization |
| Authorized Contact | DAVID MORGAN Director Of Reimbursement 907-729-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2010-07-16 |