NPI | 1699369512 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIE DAVIDSON CEO 907-729-1955 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-02-22 |
Last Update Date | 2022-09-07 |