| NPI | 1780988014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YILING LINDA KUO-RICE Owner 269-267-7978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV CP0005) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |