| NPI | 1659261352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI ELTAHIR Admin 907-519-2935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |