| NPI | 1629298120 |
|---|---|
| Doing Business As | JACOBS HOUSE |
| Entity Type | Organization |
| Authorized Contact | LORETTA BULLARD President 907-443-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AK 400297) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-07-08 |