| NPI | 1821290925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHRISTENSEN Executive Director 907-277-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2010-04-27 |