| NPI | 1790928471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES FRANCISCO Owner/ Administrator 907-884-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AK 100663) |
| Enumeration Date | 2009-04-11 |
| Last Update Date | 2009-04-11 |