| NPI | 1942858782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA CLERC Administrator 907-250-8044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |