| NPI | 1639497415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA PLETTNER President / Administrator 907-892-6944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AK 940288) |
| Additional Taxonomies | 251B00000X Case Management (Licence: AK CMG) |
| 251S00000X (Licence: AK HCS) | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2023-07-05 |