NPI | 1467252379 |
---|---|
Entity Type | Organization |
Authorized Contact | JUNG HWAN HYUN CEO & President 517-303-2869 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-03-18 |
Last Update Date | 2025-03-20 |