| NPI | 1881879922 |
|---|---|
| Doing Business As | ALASKA WISDOM RECOVERY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL W. DEMOLINA Owner 907-562-4540 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2019-08-26 |