| NPI | 1952101362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY MOORE Revenue Cycle Manager 907-793-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-03-14 |