| NPI | 1811729684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN LINDLEY Compliance Director 907-206-6055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |