| NPI | 1790350049 |
|---|---|
| Other Name | PUTYUK CHILDREN'S HOME |
| Entity Type | Organization |
| Authorized Contact | YANGSUN HAN-IM Other 907-442-7612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |