| NPI | 1871227637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA RAGAN Owner 907-696-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-15 |