| NPI | 1871893404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLA WRIGHT Chief Administrator 907-945-3611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2022-07-21 |