| NPI | 1609097476 |
|---|---|
| Other Name | ILL LEARNING LAB |
| Entity Type | Organization |
| Authorized Contact | DRENDA TIGNER Excutive Director 907-456-6445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-07-21 |