| NPI | 1629299441 |
|---|---|
| Other Name | MITCHELL HOME |
| Entity Type | Organization |
| Authorized Contact | DRENDA TIGNER Excutive Director 907-456-6445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2012-11-01 |