| NPI | 1861522773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BJORGE Secretary 907-874-4166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AK RL7770) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |