| NPI | 1922846823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLE WILLIAMS TALBOT Owner/ Therapist 907-312-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |