NPI | 1326552084 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD WU Medical Director 347-688-3398 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
207R00000X Internal Medicine | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2017-11-16 |
Last Update Date | 2018-08-10 |