| NPI | 1841497815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T WALKER Executive Director 907-874-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |