| NPI | 1609191188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SAGE Mental Health Counselor 907-373-0485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 337) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |