| NPI | 1902190754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRINA BROOKE RINELLA Owner 907-227-4306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 856) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |