| NPI | 1679718019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY SWAIN Executive Director/CEO 907-246-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: AK 911656) |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2020-09-01 |