| NPI | 1619242872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY BROWN Administrator 907-229-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: AK 100472) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2013-08-15 |