| NPI | 1902475395 |
|---|---|
| Doing Business As | BRISTOL BAY COUNSELING CENTER MANOKOTAK CLINIC |
| Entity Type | Organization |
| Authorized Contact | CATHY LEEANN TAYLOR Assistant Medical Staff Coordinator 907-842-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-21 |