| NPI | 1912748583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HO Psychiatrist 945-215-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2025-06-27 |