| NPI | 1811674237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBLEY LAU Chief Executive Officer 424-209-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2025-03-11 |