| NPI | 1669475166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADETTE FOWLER Chief Financial Officer 907-743-7321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2022-04-18 |