| NPI | 1689266140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEE YOUNG SUK Counselor 202-810-2174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2022-09-28 |