| NPI | 1831319227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WALKER Executive Director 907-874-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |