| NPI | 1255361176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YU CHO SHIH President 606-329-9636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KY 32788) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |