| NPI | 1922868363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE D BAUM License Professional Counselor 907-952-1485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |