| NPI | 1972873784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA A LYONS Director 907-750-8114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 1249) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2021-08-16 |