| NPI | 1689015794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA BIDWELL Executive Director 907-283-7635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |