| NPI | 1912431743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAE HOON KIM CEO 410-929-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD R189134) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |