| NPI | 1730789033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY ALAINE WOITEL Owner/Admin 907-841-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |