| NPI | 1649571142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN M SEEGANNA Owner 907-929-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 633) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |