| NPI | 1952597171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN MCGLOTHLIN Executive/Clinical Director 907-677-8942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AK AA125) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |