| NPI | 1811502859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT SCHWAGER Director 907-715-7391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |