| NPI | 1235771312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEI-CHUAN WANG Owner 910-758-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2022-02-18 |