| 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 |