| NPI | 1346735107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MYUNG CHOI CEO 866-205-1382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME115208) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-10-10 |