| NPI | 1629801584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODRESHIA DUNBAR Administrator/Owner 907-717-2167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-08-24 |
| Last Update Date | 2024-08-24 |