| NPI | 1942697958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MAGOWAN Director 907-452-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AK 309371) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |