NPI | 1932867983 |
---|---|
Entity Type | Organization |
Authorized Contact | OLOHIGIE LAURA ULOFOSHIO Administrator 907-744-5530 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2021-12-06 |
Last Update Date | 2021-12-06 |