| NPI | 1326676180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BAE Managing Member 464-481-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2022-07-16 |