| NPI | 1538230735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANG KWON Owner 810-732-4560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301041037) |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2007-09-11 |