| NPI | 1821425034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOK CONNOLLY Owner/Administrator 907-360-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AK 1200) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |