| NPI | 1891097697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE COE Registered Nurse 907-451-6683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: AK 6337) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |