| NPI | 1619222817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SANDERS Owner 907-232-6624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK hc000042) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |