| NPI | 1326569252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANGKHAN KHAM GUALNAM Director 918-388-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-21 |