| NPI | 1831399203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NENA SCHURMAN Owner / Administrator 907-373-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AK 901834) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |