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 | 2024-07-02 |