| NPI | 1972875417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE SUE MCGREGOR Administrator 907-310-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AK 100560) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |