| 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 |