NPI | 1780220012 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE STEIN CFO 907-373-4732 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2019-11-21 |
Last Update Date | 2024-08-19 |