| NPI | 1831472000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AROM J EVANS CEO 907-264-4390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: AK A5430) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: AK A5403) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |