| NPI | 1720105992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN LUSH Executive Director 907-235-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-12-05 |