| NPI | 1902149586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P MRAZ Owner/Care Coordinator 907-868-3965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AK 981136) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |