| NPI | 1447834908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIBELIA L CHAIYAHAT President 442-500-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2023-05-13 |