| NPI | 1861051062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERAB TENZIN Owner/Administrator 907-830-9154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |