| NPI | 1730381831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHRISTENSEN Executive Director 907-277-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2010-04-27 |