| NPI | 1932339942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESS G ADAMS Bookkeeper 907-892-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AK HC78981) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |