| NPI | 1801779178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL ROBERT SODERSTROM CEO 907-521-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-07-25 |