| NPI | 1639382880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE V VIZCOCHO Care Coordination Administrator 907-563-5002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: AK CMG 911) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-09-10 |