| NPI | 1033614037 |
|---|---|
| Doing Business As | BRIAN GONG PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | BRIAN MICHAEL GONG Owner/Phycotherapist 561-501-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2020-09-18 |