| NPI | 1659989267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MICHELLE GIBSON Owner/Sole Employee 907-206-2254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |