| NPI | 1841015153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINGYI KANG Operations 332-203-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist | |
| 207Q00000X Family Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 364SC1501X Clinical Nurse Specialist, Community Health/Public Health | |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2025-04-14 |