NPI | 1841641388 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL H JOHNSON Sole Member 907-422-7504 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 1390) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2016-06-27 |