| NPI | 1659984987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MECKEL Board Chair 907-978-3926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |