| NPI | 1891281036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEJAH SOONG Owner 360-499-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00048978) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |