| NPI | 1871137596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY D AEMMER Administrative Services Director 907-780-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |