| NPI | 1730582446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY BRENNAN Administrator/Counselor Supervisor 907-376-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AK 1400000818) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |