| NPI | 1821295999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SWIRCENSKI Owner 907-229-2473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 831) |
| Additional Taxonomies | 225700000X Massage Therapist |
| 363AM0700X Physician Assistant, Medical (Licence: AK PA235) | |
| Enumeration Date | 2007-06-30 |
| Last Update Date | 2020-08-22 |