| NPI | 1831596311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD L OLSON VP Finance 907-729-4939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: AK 20467) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |