| NPI | 1720309693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY KING Behavioral Health Office Manager 907-780-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2025-07-18 |