NPI | 1619282712 |
---|---|
Entity Type | Organization |
Authorized Contact | WHITNEY WHITMAN Sole Proprietor 907-440-7426 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK LPC# 648) |
Enumeration Date | 2010-08-12 |
Last Update Date | 2010-08-12 |