| NPI | 1639252380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SHIXIE LIU President 718-359-5603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 216399) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-07-10 |