| NPI | 1689080947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS G WOODWARD Owner/Operator 907-252-1839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 717) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |