| NPI | 1932744489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENI I MAVAEGA Lead Case Manager 907-297-8942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 174200000X | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |