| NPI | 1508757246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIN WOOK LEE Manager 646-450-2954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-11 |