| NPI | 1982116281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE AGUILAR President 907-306-3414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |