| NPI | 1659490886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J JONES Executive Director 907-279-6617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 232934) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AK 2332934) |
| 103T00000X Psychologist (Licence: AK 232934) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AK 232934) | |
| 103TC0700X Psychologist, Clinical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AK 2332934) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: AK 232934) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AK 232934) | |
| 310400000X Assisted Living Facility (Licence: AK 232934) | |
| 311Z00000X Custodial Care Facility (Licence: AK 232934) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AK 232934) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2024-07-01 |