NPI | 1639866908 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN A BRYAN Owner 907-720-7103 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-04-18 |
Last Update Date | 2023-04-18 |