| NPI | 1205916269 |
|---|---|
| Former Name | DENNIS CHAI SUN PARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00005610) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-07-21 |