| NPI | 1881984573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY GENE HOLMAN Owner 907-351-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AK LMFT 26) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |