| NPI | 1447758149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEE SOON PARK Physician 267-422-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD433725) |
| Enumeration Date | 2018-01-28 |
| Last Update Date | 2023-06-01 |