NPI | 1780277830 |
---|---|
Doing Business As | TRIBAL/HPG- ICM (INTENSIVE CASE MANAGEMENT) |
Entity Type | Organization |
Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4939 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2021-02-18 |
Last Update Date | 2023-09-14 |