| NPI | 1629518402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMALIA DAVID Owner/Program Administrator 907-885-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: AK 1048145) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |