| NPI | 1174399935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WESLEY LU President 909-272-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |