| NPI | 1679456958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN ENSIGN Co Owner/ Therapist 907-231-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-07-25 |