| NPI | 1881210474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELISSA F THOMAS Chief Executive 907-374-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2021-08-24 |