| NPI | 1609623347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUI JIANG Director 848-900-1219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |