| NPI | 1922443969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANITA RODRIGUEZ Behavioral Health Clinician 907-772-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AK 1224) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |