| NPI | 1821455361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL A HARDEE Behavioral Health Clinician 907-598-3470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 1035) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |