NPI | 1689026064 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY CARSSOW Director 1907-235-3738 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 106280) |
Enumeration Date | 2016-07-08 |
Last Update Date | 2016-07-08 |