| NPI | 1265977243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L CHIU Owner 605-400-9975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: SD 9219) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2022-06-24 |