| NPI | 1962033282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON J BENJAMIN Chief Financial Officer 907-474-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |