| NPI | 1730340647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MERLE FARLEIGH President 907-561-4293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AK AA1693) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |