NPI | 1679799977 |
---|---|
Doing Business As | MANIILAQ RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | SHERRY ANN KULUKHON Treatment Services Supervisor 907-442-7648 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: AK 3059) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2008-12-22 |