| NPI | 1922436328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIEN WATTS TINCHER Owner 907-696-8462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AK 117) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |