| NPI | 1720640840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAPHA ANDREW LAWAL Owner 907-313-9278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |