| NPI | 1629713623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENI IERUSALEMA MAVAEGA Co Owner 907-297-8942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-05-03 |