| NPI | 1821224346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS CECILE BERGERON Clinician 907-223-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 825) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |