NPI | 1689193740 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRIE ELAINE BORDER Member 907-230-3022 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 118148) |
Enumeration Date | 2017-09-10 |
Last Update Date | 2024-09-13 |