| 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 |