| NPI | 1720126626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA LINDSEY Operations Support Specialist 907-463-6852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 277494) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2024-12-20 |