| NPI | 1790236578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WOOD FINCH Organizer 907-687-0722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AK PADA185) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |