| NPI | 1982144473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE JAMES HUDSON Professional Counselor 907-952-5564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AK 914) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |