NPI | 1750928214 |
---|---|
Former Legal Business Name | K MENTAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | KYUNGHEE SEO Ms. K 801-602-2645 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2019-12-04 |
Last Update Date | 2020-05-27 |