| NPI | 1619177813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE GARRETT Accountant 1 907-463-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |