| NPI | 1699216606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOU XIONG Program Director 907-561-1083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |