| NPI | 1770472524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHYOUNG TAE Licensed Clinical Psychologist 267-688-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-06-28 |
| Last Update Date | 2025-06-28 |