| NPI | 1619197662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WALKER Executive Director 907-874-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |