| NPI | 1558873646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUY DINH NGUYEN President 754-702-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL OS12673) |
| Enumeration Date | 2017-10-29 |
| Last Update Date | 2017-10-29 |