| 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 |