| NPI | 1770918732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCI J WOMACK Mental Health Rehabilition Aide 907-481-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |