NPI | 1841413655 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY M. WILLIAMS Chief Executive Officer 907-274-0243 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 736367) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |