| NPI | 1689095580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT HIETT President 907-244-9504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: AL 101032) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |