| NPI | 1730202649 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | LUISA ESTRELLA BURKE Administrator 907-336-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AK 000166) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |