| NPI | 1861995946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE M FINE Administrator 907-841-3463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AK 101258) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |