| NPI | 1265045579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOUNG LEE CEO 346-413-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |