| NPI | 1073996781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUN YANG Psychiatrist 626-757-6625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA A108968) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2018-11-29 |