| NPI | 1861154262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN SHAWNA NUSBAUM Director 907-394-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 171M00000X Case Manager/Care Coordinator | |
| 225700000X Massage Therapist | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-26 |