| NPI | 1689820979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY DONOVAN CEO 907-433-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AK 942384) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2019-01-29 |