| NPI | 1932543691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL HODGES Owner/Provider 907-276-2978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 6369) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |