NPI | 1962945709 |
---|---|
Entity Type | Organization |
Authorized Contact | LIZ PAWELKO Owner 907-456-2256 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK PCOC613) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2016-11-28 |
Last Update Date | 2017-12-11 |