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 |