| NPI | 1679932289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON NOLAN Clinical Director 907-586-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing (Licence: AK FBC001) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |