| NPI | 1609479096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRI PHILEMONOF President/CEO 907-276-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-20 |