| NPI | 1790017499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMA C. PRIESS President 907-452-8438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK AA107) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |