| 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 |