| NPI | 1861014920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY STEVENS Nvsb Thsem Tphss 907-764-2641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QC1500X Clinic/Center Community Health | |
| 261QH0100X Clinic/Center Health Service | |
| 261QR1300X Clinic/Center Rural Health | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |