| NPI | 1790997948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTURO MEMITA EVANGELISTA President 907-743-0654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AK 100462) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |