| NPI | 1720318736 |
|---|---|
| Doing Business As | GOOD SIDE OUT |
| Entity Type | Organization |
| Authorized Contact | DEBORAH E. STAMM Owner 907-677-7636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 596) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2015-03-04 |