| NPI | 1821453937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNN GURIS Owner 907-280-9328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 8051) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2022-11-16 |