| NPI | 1801079975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BESS CLARK Executive Director 907-225-7825 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: AK 292852) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2020-10-20 |