| NPI | 1942785464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN WRIGHTSMAN Executive Director 907-987-9267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2022-11-22 |